Individual
MARIE DELSIGNORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1234 NEW CREEK HWY, KEYSER, WV 26726-9505
(304) 788-9320
(304) 788-9323
Mailing address
1234 NEW CREEK HWY, KEYSER, WV 26726-9505
(304) 788-9320
(304) 788-9323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53316
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53316
MEDICAL LICENSE
WV
Enumeration date
01/31/2014
Last updated
01/31/2014
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