Individual
MATTHEW ALLEN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, NP-C
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-4155
Mailing address
3412 STAUNTON AVE SE, CHARLESTON, WV 25304-1327
(304) 388-6004
(304) 388-3360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN60260-NP-C
WV
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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