Individual
CHASIDY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 GRAND PARK DR STE 203, PARKERSBURG, WV 26105-4049
(304) 422-9293
Mailing address
417 GRAND PARK DR STE 203, PARKERSBURG, WV 26105-4049
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
64718
WV
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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