Individual
TAYLOR NICOLE DODRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1297
(304) 340-1651
Mailing address
5320 DALEWOOD DR, CROSS LANES, WV 25313-1776
(304) 993-3457
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
106723
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106723
APRN
WV
Enumeration date
12/14/2020
Last updated
05/10/2021
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