Individual
TINA HALTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
122 MAPLEWOOD AVE, RONCEVERTE, WV 24970-9736
(304) 645-4406
(304) 645-4492
Mailing address
PO BOX 596, ALDERSON, WV 24910-0596
(304) 646-4627
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45868
WV
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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