Individual
TINA WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
747 N MAIN ST STE C, MOOREFIELD, WV 26836-1336
(304) 538-8000
(304) 538-8014
Mailing address
747 N MAIN ST, MOOREFIELD, WV 26836-1336
(304) 538-8000
(304) 538-8014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
107641
WV
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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