Organization
VETERANS HEALTH ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETITIA JEAN GOLDEN FNP BC (NURSE PRACTITIONER)
(304) 623-3461
Entity
Organization
Contact information
Practice address
1 MED CENTER DR, CLARKSBURG, WV 26301-4155
(304) 623-3461
Mailing address
1 MED CENTER DR, CLARKSBURG, WV 26301
(304) 623-3461
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
77023
WV
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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