Individual
KHRISTINA L LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 ROOSEVELT BLVD, ELEANOR, WV 25070-1390
(304) 757-6999
Mailing address
71 WILLOWOOD CIR, HURRICANE, WV 25526-9268
(304) 237-4036
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
109965
WV
Other
Enumeration date
09/26/2021
Last updated
10/20/2023
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