Individual
CHRISTINA ETTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
464 GRADE SCHOOL RD, LENORE, WA 25676
(304) 784-1168
Mailing address
PO BOX 86, LENORE, WV 25676-0086
(304) 784-1168
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
115641
WV
363LF0000X
Family Nurse Practitioner
3019083
KY
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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