Individual
TAYLOR HARTLEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3819 CHESTERFIELD AVE, CHARLESTON, WV 25304-2647
(304) 925-4771
Mailing address
700 WASHINGTON ST E, CHARLESTON, WV 25301-1657
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
105639
WV
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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