Individual
MS. NANCY S STULL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DRIVE, CLARKSBURG, WV 26301
(304) 623-3461
(304) 626-7010
Mailing address
3 TODD LN, PHILIPPI, WV 26416-1245
(304) 457-2657
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
340
WV
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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