Individual
REBECCA LYNN DEROSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1415 6TH AVE # A, HUNTINGTON, WV 25701-2420
(304) 522-1142
Mailing address
103 SANSOM AVE, WAYNE, WV 25570-9651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
102685
WV
Other
Enumeration date
09/17/2019
Last updated
12/17/2023
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