Individual
TOMMA KAY MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
337, WATER STREET, NEWBURG, WV 26410
(304) 892-7019
Mailing address
PO BOX 184, NEWBURG, WV 26410-0184
(304) 892-7019
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
107892
WV
Other
Enumeration date
12/08/2020
Last updated
04/09/2021
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