Individual
STEPHANIE RADABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 598-4000
(304) 293-6963
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
51217
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006050
—
WV
Enumeration date
08/08/2006
Last updated
11/16/2007
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