Individual
MRS. PATRICIA ANN TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 526-1087
Mailing address
3327 HANEYS BRANCH RD, HUNTINGTON, WV 25704-9118
(304) 429-8055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28489
WV
Other
Enumeration date
01/28/2007
Last updated
07/08/2007
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