Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Aron Moles, DMPNA, CRNA

Individual provider Registered Nurse · NPI 1578200580

Ethan Aron Moles, DMPNA, CRNA is a Registered Nurse in South Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2022.

Licensed in
WV
In the registry since
2022
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone: (304) 766-3600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 112703 (WV)
Registered Nurse Taxonomy 163W00000X · Licence 85894 (WV)

Record details

NPI number1578200580
Entity typeIndividual (Type 1)
GenderMale
Credentials DMPNA , CRNA
Sole proprietorNo
NPI enumeratedMay 19, 2022
Last updated in NPPESMay 19, 2022
Certification dateMay 19, 2022

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