Individual
FAITH ANN RODEHEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
100 PIN OAK LN, KEYSER, WV 26726-5908
(304) 597-3500
Mailing address
100 PIN OAK LN, KEYSER, WV 26726-5908
(304) 597-3500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R211043
MD
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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