Individual
CRISTY DAWN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
78 QUEENS ALLEY RD, ROCK CAVE, WV 26234-5890
(304) 924-6262
(304) 924-5460
Mailing address
PO BOX 217, ROCK CAVE, WV 26234-0217
(304) 924-6262
(304) 924-5460
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
68388
WV
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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