Individual
NICOLE DANIELLE CLENDENIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, APRN-CNP
Contact information
Practice address
23 THOROUGHBRED RD, SCOTT DEPOT, WV 25560-9679
(304) 545-8478
Mailing address
23 THOROUGHBRED RD, SCOTT DEPOT, WV 25560-9679
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103825
WV
Other
Enumeration date
11/05/2019
Last updated
06/20/2022
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