Individual
ANGELA HENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-3000
Mailing address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-3000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
81458
WV
363LF0000X
Family Nurse Practitioner
Primary
104954
WV
Other
Enumeration date
09/18/2019
Last updated
04/12/2023
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