Individual
MRS. KATRINA WASMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
407 WHEELING AVE, GLEN DALE, WV 26038-1536
(304) 845-1500
Mailing address
472 LAUREN LN, GLEN EASTON, WV 26039-1475
(304) 551-1780
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
52290
WV
363LF0000X
Family Nurse Practitioner
Primary
52290
WV
Other
Enumeration date
01/28/2015
Last updated
04/06/2022
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