Individual
MRS. SUSAN FAWN BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3997 BECKLEY RD, PRINCETON, WV 24740-7660
(304) 431-5499
Mailing address
3997 BECKLEY RD, PRINCETON, WV 24740-7660
(304) 431-5499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104880
WV
Other
Enumeration date
05/01/2024
Last updated
09/15/2025
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