Individual
MRS. BETHANY RUTH RATLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
617 RIVER ST, GASSAWAY, WV 26624-1137
(304) 364-8941
(304) 364-8943
Mailing address
617 RIVER ST, GASSAWAY, WV 26624-1137
(304) 364-8941
(304) 364-8943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
48777
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810012243
—
WV
Enumeration date
09/14/2006
Last updated
06/23/2009
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