Individual
RANDY BERRY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801-3397
(304) 256-4100
Mailing address
1898 DOTSON RIDGE RD, HICO, WV 25854-7317
(304) 784-2798
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
118493
WV
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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