Individual
GINA L. DIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
501 MORRIS STREET, CHARLESTON, WV 25301
(304) 388-3322
(304) 388-3978
Mailing address
501 MORRIS STREET, CHARLESTON, WV 25301
(304) 388-3322
(304) 388-3978
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2008006926
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008006926
NP LICENSE
—
01
—
43736
RN LICENSE
WV
Enumeration date
03/12/2009
Last updated
03/12/2009
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