Individual
BRANDON WASKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 700, CHARLESTON, WV 25304-1223
(304) 347-1204
Mailing address
PO BOX 1547, SUITE 700, CHARLESTON, WV 25326-1547
(304) 347-1204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
61274
WV
Other
Enumeration date
06/07/2016
Last updated
03/14/2017
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