Provider Demographics
NPI:1427099738
Name:ZEH, LINDA A (CRNA)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:ZEH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 EASTON MILL RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-0914
Mailing Address - Country:US
Mailing Address - Phone:304-290-5226
Mailing Address - Fax:
Practice Address - Street 1:54 EASTON MILL RD
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-0914
Practice Address - Country:US
Practice Address - Phone:304-290-5226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV24473367500000X
GARN096469367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0067392000Medicaid
WV0067392000Medicaid
WVP00176514OtherRAILROAD MEDICARE
WV27005299700OtherWORKERS COMP
WVDA0096OtherRR MEDICARE
WV9333201Medicare PIN
WV001720727OtherBCBS
WV0067392000Medicaid
WV0207026000Medicaid
WV8229482Medicare PIN
WV270052997004OtherTRICARE
WVP00176514OtherRR MEDICARE