Individual
MIA NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2410 JEFFERSON AVE, POINT PLEASANT, WV 25550-1528
(304) 675-7400
Mailing address
106 NORTON LN, POINT PLEASANT, WV 25550-4125
(304) 593-4298
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22424
WV
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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