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Individual

STEPHANIE L NEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
111 FAYETTE AVE, FAYETTEVILLE, WV 25840-1219
(304) 574-1176
Mailing address
404 OLD MAIN DR, SUMMERSVILLE, WV 26651-1360
(304) 872-6440
(304) 872-6442

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
64638
WV

Other

Enumeration date
10/03/2017
Last updated
10/03/2017
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