Individual
LETITIA JEAN GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
706 OAKMOUND RD, CLARKSBURG, WV 26301
(304) 622-7511
(304) 924-5460
Mailing address
706 OAKMOUND RD, CLARKSBURG, WV 26301
(304) 622-7511
(304) 924-5460
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
77023
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN77023
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810026224
—
WV
01
—
77023
FNP LICENSE
WV
Enumeration date
07/18/2013
Last updated
10/12/2023
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