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Individual

MRS. GINA BARCINAS GREATHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1322 PINEVIEW DR., MORGANTOWN, WV 26505
(304) 599-8790
(304) 599-8795
Mailing address
1322 PINEVIEW DR., MORGANTOWN, WV 26505
(304) 599-8790
(304) 599-8795

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
05415
OH
363L00000X
Nurse Practitioner
RN305537
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2400646
OH
Enumeration date
03/29/2006
Last updated
11/05/2010
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