Individual
MRS. COURTNI LEE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 288-4376
Mailing address
110 N PRICE ST, KINGWOOD, WV 26537-1120
(304) 329-3500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
104391
WV
363LF0000X
Family Nurse Practitioner
Primary
104391
WV
Other
Enumeration date
05/04/2023
Last updated
04/02/2026
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