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Individual

ANNETTE GASKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
97 GREAT TEAYS BLVD, SUITE 6, SCOTT DEPOT, WV 25560-9815
(304) 757-6999
(304) 757-3252
Mailing address
97 GREAT TEAYS BLVD, SUITE 6, SCOTT DEPOT, WV 25560-9815
(304) 757-6999
(304) 757-3252

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN81438
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810028512
WV
Enumeration date
08/24/2014
Last updated
03/17/2015
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