Individual
PATTY HERMOSILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-FNP
Contact information
Practice address
341 SPRUCE ST, MORGANTOWN, WV 26505-5504
(304) 292-8234
Mailing address
721 MOUNT VERNON AVE, FAIRMONT, WV 26554-2522
(304) 366-1703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
38002
WV
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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