Individual
PATRICIA A HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
70 N STURMER ST, BELINGTON, WV 26250-7403
(304) 823-2800
(304) 823-2703
Mailing address
70 N STURMER ST, BELINGTON, WV 26250-7403
(304) 757-6999
(304) 757-3252
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
089
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160108000
—
WV
01
—
Q3F8696
MEDICARE PTAN
WV
Enumeration date
12/02/2005
Last updated
10/22/2015
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