Individual
SAMANTHA EVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 J D ANDERSON DR, MORGANTOWN, WV 26505-3474
(724) 557-9305
(724) 557-9305
Mailing address
283 EDISON ST APT A, UNIONTOWN, PA 15401-2582
(724) 557-9305
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33697
WV
Other
Enumeration date
07/08/2017
Last updated
07/08/2017
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