Individual
BETHANY WEATHERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ANGUS E PEYTON DR, SOUTH CHARLESTON, WV 25303-1600
(304) 746-2088
Mailing address
120 WILLADINE DR, CHARLESTON, WV 25311-8375
(740) 208-1233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77304
WV
163W00000X
Registered Nurse
RN.354181
OH
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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