Individual
LISA MAE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2000 MON HEALTH MEDICAL PARK DR STE 2300, MORGANTOWN, WV 26505-1134
(304) 599-8802
(304) 599-5607
Mailing address
2000 MON HEALTH MEDICAL PARK DR STE 2300, MORGANTOWN, WV 26505-1134
(304) 599-8802
(304) 599-5607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
51798
WV
Other
Enumeration date
08/06/2012
Last updated
04/16/2018
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