Individual
SHERRY L DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
134 MEDICAL PLACE, AIRPORT INDUSTRIAL PARK, COMMERCE DRIVE, BEAVER, WV 25813
(304) 255-1080
(304) 255-1082
Mailing address
134 MEDICAL PLACE, AIRPORT INDUSTRIAL PARK, COMMERCE DRIVE, BEAVER, WV 25813
(304) 255-1080
(304) 255-1082
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
49162
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7104149000
—
WV
Enumeration date
08/21/2006
Last updated
08/02/2007
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