Individual
MATYA DRENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
597 LIBERTY ST, WEST MILFORD, WV 26451-6801
(304) 745-4568
(304) 326-3700
Mailing address
597 LIBERTY ST, WEST MILFORD, WV 26451-6801
(304) 745-4568
(304) 326-3700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN78520-FNP-BC
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679901243
—
WV
Enumeration date
10/17/2013
Last updated
08/24/2022
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