Individual
ANDRIANA KIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(681) 342-3455
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(681) 342-3455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
110920
WV
363L00000X
Nurse Practitioner
Primary
93469
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93469
LICENSE
WV
Enumeration date
10/13/2021
Last updated
01/24/2024
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