Individual
MRS. KRISTI M LAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
417 GRAND PARK DR STE 106, PARKERSBURG, WV 26105-4049
(304) 842-3341
(304) 842-2339
Mailing address
106B CAMBRIDGE PL, BRIDGEPORT, WV 26330-2812
(304) 842-3341
(304) 842-2339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
50679
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2633814
—
OH
05
—
7103093000
—
WV
Enumeration date
08/31/2006
Last updated
08/17/2019
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