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Individual

BETSY DAWN LEGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-MSN

Contact information

Practice address
4114 1ST AVE, NITRO, WV 25143-1304
(304) 755-0119
(304) 755-0111
Mailing address
4114 1ST AVE, NITRO, WV 25143-1304
(304) 755-0119
(304) 755-0111

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
56058
WV
363LF0000X
Family Nurse Practitioner
APRN56058
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810005642
WV
Enumeration date
02/13/2008
Last updated
01/05/2024
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