Individual
TINA LOUISE PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3351
(304) 388-5432
Mailing address
PO BOX 691, UNEEDA, WV 25205-0691
(304) 928-1886
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN61702NP
WV
Other
Enumeration date
05/10/2019
Last updated
05/22/2022
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