Individual
NATHAN DAVID ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, NP-C
Contact information
Practice address
956 MAPLE DR, MORGANTOWN, WV 26505-2813
(304) 291-5805
Mailing address
121 MOUNTAINEER VLG, MORGANTOWN, WV 26508-9450
(304) 374-7832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104909
WV
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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