Individual
CHASSIDY DAWN NUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
417 GRAND PARK DR, PARKERSBURG, WV 26105-0002
(304) 422-9293
Mailing address
417 GRAND PARK DR STE 203, PARKERSBURG, WV 26105-4049
(304) 422-9293
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
39918
WV
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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