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Individual

WHITNEY D WATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2501 JACKSON AVE, POINT PLEASANT, WV 25550-2035
(304) 857-0004
(304) 857-0005
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 781-5159
(304) 523-8115

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN79661
WV
363L00000X
Nurse Practitioner
APRN79661NP
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN79661NP
LICENSE
WV
Enumeration date
08/15/2017
Last updated
06/03/2024
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