Individual
MELISSA SUE RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
3701 MACCORKLE AVE SE, CHARLESTON, WV 25304-1525
(304) 720-2345
(304) 720-2347
Mailing address
3701 MACCORKLE AVE SE, CHARLESTON, WV 25304-1525
(304) 720-2345
(304) 720-2347
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN103648
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN103648
LICENSE
WV
Enumeration date
06/28/2019
Last updated
09/04/2024
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