Individual
CADY DEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
186 FAIRCHANCE RD, MORGANTOWN, WV 26508-4435
(304) 777-2352
Mailing address
2044 MOUNTAIN ASH LN, MORGANTOWN, WV 26501-1135
(304) 709-2239
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
117128
WV
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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