Individual
RACHEAL NICOLE LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
351 4H LAKE RD, DANIELS, WV 25832-9531
(304) 877-8215
(304) 763-4275
Mailing address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 253-2628
(304) 252-1720
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
854
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2022
Last updated
01/09/2025
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