Individual
MRS. STEPHANIE DAWN GLADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1000 TAVERN RD STE 100, MARTINSBURG, WV 25401-2853
(304) 267-9355
(304) 267-9358
Mailing address
220 CAMPUS BLVD STE 200, WINCHESTER, VA 22601-2889
(540) 536-0231
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53032
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001103
—
WV
Enumeration date
07/05/2006
Last updated
03/08/2021
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