Individual
PATRICA ANN COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
RR 6 BOX 254A, FAIRMONT, WV 26554-9120
(304) 363-9025
Mailing address
RR 6 BOX 254A, FAIRMONT, WV 26554-9120
(304) 363-9025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75762
WV
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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