Individual
AMY G ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
382 BROADWAY AVE, MORGANTOWN, WV 26505-0364
(304) 599-7743
Mailing address
382 BROADWAY AVE, MORGANTOWN, WV 26505-0364
(304) 599-7743
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
41619
WV
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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