Individual
MELISSA LEE MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10 MULLIGAN DRIVE, PETERSBURG, WV 26847-1511
(304) 257-2451
Mailing address
3647 US HIGHWAY 220 N, MOOREFIELD, WV 26836-8643
(304) 538-3131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71048
WV
Other
Enumeration date
09/14/2012
Last updated
05/04/2015
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