Individual
BETTY WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 1ST AVE STE 10, HUNTINGTON, WV 25702-1241
(304) 525-6825
Mailing address
PO BOX 4190, BARBOURSVILLE, WV 25504-4190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104157
WV
Other
Enumeration date
01/13/2020
Last updated
04/22/2021
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