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Individual

AMY RATKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1234 NEW CREEK HWY, KEYSER, WV 26726-9505
(304) 788-9320
Mailing address
175 JUNIPER DR, RIDGELEY, WV 26753-1176
(301) 268-3570

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R147422
MD
363LF0000X
Family Nurse Practitioner
107458
WV

Other

Enumeration date
02/23/2017
Last updated
09/18/2020
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