Individual
MRS. AUDREY NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1 MEDICAL CENTER DRIVE, ANESTHESIOLOGY, MORGANTOWN, WV 26506-8255
(304) 598-4000
(304) 598-4930
Mailing address
PO BOX 8255, 1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506-8255
(304) 598-4000
(304) 598-4930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
78333
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN78333-NP-C
WV
Other
Enumeration date
09/11/2014
Last updated
07/27/2016
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