Individual
AMY DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
158 PINNELL ST, RIPLEY, WV 25271-9101
(304) 372-4402
Mailing address
158 PINNELL ST, RIPLEY, WV 25271-9101
(304) 372-4402
(304) 372-9221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
79882
WV
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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