Individual
AMANDA TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
70960
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN70960-FNP-BC
WV
Other
Enumeration date
08/01/2016
Last updated
02/27/2019
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