Individual
NANCY JEAN WOLVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1333 SOUTHVIEW DR, BLUEFIELD, WV 24701-4317
(304) 327-9205
(304) 327-9210
Mailing address
118 12TH STREET, PRINCETON, WV 24740-2352
(304) 431-5153
(304) 487-7835
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN1502412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305483700
—
FL
01
—
Y022R
BLUE SHIELD PROV #
FL
Enumeration date
09/12/2005
Last updated
08/01/2012
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