Individual
MRS. MICHELLE DENISE UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
RR 1 BOX 339, CHARLESTON, WV 25312-9724
(304) 346-2371
Mailing address
RR 1 BOX 339, CHARLESTON, WV 25312-9724
(304) 346-2371
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
58679
WV
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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