Individual
TINA L WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
783 WINCHESTER ST, PAW PAW, WV 25434
(304) 947-5500
(304) 947-5563
Mailing address
PO BOX 2, PAW PAW, WV 25434-0002
(304) 947-5500
(304) 947-5563
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN94035-NP-C
WV
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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