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Search › West Virginia › 207L00000X

Phillip Nicodemus, CRNA

NPI 1417917899 · on the registry since 2006

Practice

Address
94 Old Mill Rd
Martinsburg, WV 25401
Phone
(304) 264-8933
Fax
(304) 264-8846
Organisation at this address
Christian Psychological Services
Anderson Obstetrics & Gynecology, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
207L00000X
207L00000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia