Individual
MR. CONLEY V WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
857 WANDERING LN, BEAVER, WV 25813-9491
(304) 207-2961
Mailing address
857 WANDERING LN, BEAVER, WV 25813-9491
(304) 207-2961
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113906
WV
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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