Individual
ANDREW PRESTON WIDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
600 W RIDGE RD, WYTHEVILLE, VA 24382-1044
(276) 228-0200
Mailing address
13271 CARDINAL LN, MEADOWVIEW, VA 24361-3315
(443) 603-8660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176646
VA
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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