Individual
MRS. VENETA ROSE EGGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
830 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3302
(304) 388-2252
(304) 388-2243
Mailing address
830 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3390
(304) 388-2252
(304) 388-2243
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
25568
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007020000
—
WV
Enumeration date
04/21/2006
Last updated
08/13/2008
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