Individual
NICOLE RADABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 MINUTEMAN DR, WESTON, WV 26452-2200
(304) 999-7870
(304) 269-0165
Mailing address
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208-7713
(304) 226-5725
(304) 226-3274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN59918-NP-C
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810029176
—
WV
Enumeration date
04/24/2015
Last updated
05/09/2026
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