Individual
JOSHUA CHASE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
4619 KANAWHA AVE SW, SOUTH CHARLESTON, WV 25309-1319
(304) 400-4545
Mailing address
14 JAMES CIR, CULLODEN, WV 25510-9049
(304) 545-9640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
70607
WV
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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