Individual
MRS. ANDREA CHIFFENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 OHIO AVE, CHARLESTON, WV 25302-2212
(681) 205-8701
(304) 734-2047
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 734-2040
(304) 734-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2486
WV
363A00000X
Physician Assistant
Primary
924
WV
363A00000X
Physician Assistant
MA062571
PA
363A00000X
Physician Assistant
OA005799
PA
Other
Enumeration date
05/27/2021
Last updated
10/07/2024
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