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Individual

CHRISTINA CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
606 WASHINGTON ST, RAVENSWOOD, WV 26164-1730
(304) 273-1033
(304) 273-1034
Mailing address
PO BOX 609, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.025778
OH
363LF0000X
Family Nurse Practitioner
105575
WV

Other

Enumeration date
10/30/2019
Last updated
03/25/2021
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