Individual
DANIELLE ANDEREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
181 OATES LN, ELLAMORE, WV 26267-5675
(304) 657-6214
Mailing address
181 OATES LN, ELLAMORE, WV 26267-5675
(304) 657-6214
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
35315
WV
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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