Individual
ANDREA BLEDSOE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
396 DINGESS ST, LOGAN, WV 25601-3624
(304) 831-1700
(304) 831-1726
Mailing address
396 DINGESS ST, LOGAN, WV 25601-3624
(304) 831-1700
(304) 831-1726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
50659
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101087000
—
WV
Enumeration date
04/19/2006
Last updated
07/08/2007
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