Individual
MRS. HEATHER NICOLE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
1075 VAN VOORHIS RD, MORGANTOWN, WV 26505-3586
(304) 598-0122
Mailing address
121 MOUNTAINEER VLG, MORGANTOWN, WV 26508-9450
(304) 377-1244
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
86520
WV
163W00000X
Registered Nurse
RN718107
PA
363LF0000X
Family Nurse Practitioner
Primary
104940
WV
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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