Individual
STEPHEN UPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27353 CHARLESTON RD, LEON, WV 25123-9209
(304) 812-4548
Mailing address
265 TRIBBLE RD, LEON, WV 25123-9209
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN73115-FNP-BC
WV
Other
Enumeration date
03/08/2014
Last updated
04/11/2023
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