Individual
AMANDA MCGILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP-BC
Contact information
Practice address
3045 PENNSYLVANIA AVE STE 3, WEIRTON, WV 26062-3770
(304) 723-4000
(304) 723-4003
Mailing address
3045 PENNSYLVANIA AVE STE 3, WEIRTON, WV 26062-3770
(304) 723-4000
(304) 723-4003
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
73677
WV
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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