Individual
MELODY DAWN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
169 DIAMOND ST, ELKINS, WV 26241-3706
(304) 591-9154
Mailing address
PO BOX 204, HAMBLETON, WV 26269-0204
(304) 704-6820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0202935
WV
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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