Individual
MS. THERESA DAWN HYSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
1249 15TH ST, HUNTINGTON, WV 25701-3662
(304) 691-1000
Mailing address
1249 15TH ST, HUNTINGTON, WV 25701-3662
(304) 691-1000
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
110601
WV
Other
Enumeration date
09/13/2021
Last updated
12/29/2021
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