Individual
HALEY AMANDA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 COOMBS FARM RD STE 106, MORGANTOWN, WV 26508-1157
(304) 212-5663
(304) 936-0101
Mailing address
453 VAN VOORHIS RD, MORGANTOWN, WV 26505-3408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
117880
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972211712
—
WV
Enumeration date
01/22/2024
Last updated
07/25/2025
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