Individual
CONNIE HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
#1 GUMP STREET, CLAY, WV 25043
(304) 587-4266
(304) 587-4181
Mailing address
501 22ND ST, DUNBAR, WV 25064-1711
(304) 766-7655
(304) 755-2824
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22856
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161629000
—
WV
Enumeration date
10/02/2007
Last updated
10/02/2007
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