Individual
JANET NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1169 ROCKLICK BRANCH RD, PRICHARD, WV 25555-8148
(304) 544-3664
Mailing address
1169 ROCKLICK BRANCH RD, PRICHARD, WV 25555-8148
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
47613
WV
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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