Individual
MRS. ROBERTA J WHETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
48 OAK STREET, ELK GARDEN, WV 26717-0048
(304) 446-5505
Mailing address
PO BOX 48, ELK GARDEN, WV 26717-0048
(304) 446-5505
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
048888
WV
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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