Individual
SANDRA JANE WOTRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,FNP
Contact information
Practice address
3411 NOYES AVE STE A, CHARLESTON, WV 25304-1351
(304) 345-1341
(304) 345-1336
Mailing address
3411 NOYES AVE STE A, CHARLESTON, WV 25304-1351
(304) 345-1341
(304) 345-1336
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18628
WV
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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