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Individual

SUMMER NICOLE NEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
38 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 792-6282
(304) 792-6290
Mailing address
284 PARK RIDGE RD, CHAPMANVILLE, WV 25508-5733
(304) 688-5944
(941) 727-7171

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APRN59853NP
WV

Other

Enumeration date
07/27/2017
Last updated
07/27/2017
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