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Individual

KRYSTAL DAWN TAWNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
226 SKYLAR DR, LEWISBURG, WV 24901-9383
(304) 645-3435
(304) 645-3463
Mailing address
226 SKYLAR DR, LEWISBURG, WV 24901-9383
(304) 645-3435
(043) 645-3463

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
75957
WV
363LF0000X
Family Nurse Practitioner
SP012420
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102780235
PA
05
3810024409
WV
Enumeration date
07/11/2012
Last updated
06/29/2023
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