Individual
SAMANTHA NICOLE BURDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 TRACY WAY, CHARLESTON, WV 25311-1262
(304) 388-4965
Mailing address
400 ASSOCIATION DR STE 102, CHARLESTON, WV 25311-1298
(304) 388-8521
(304) 388-0019
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1548
WV
Other
Enumeration date
03/18/2025
Last updated
09/17/2025
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