Individual
VANESSA NICOLE STIDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5187 US ROUTE 60 STE 13, HUNTINGTON, WV 25705-2076
(304) 733-5010
(304) 733-5024
Mailing address
106 ORCHARD DR, SOUTH POINT, OH 45680-9683
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
72807
WV
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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