Individual
TERESA LYNN WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1703 LOCUST AVE, FAIRMONT, WV 26554-1320
(304) 363-6210
(304) 363-0952
Mailing address
1703 LOCUST AVE, FAIRMONT, WV 26554-1320
(304) 363-6210
(304) 363-0952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
105701
WV
363LG0600X
Gerontology Nurse Practitioner
Primary
105701
WV
Other
Enumeration date
02/26/2020
Last updated
12/07/2020
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