Individual
MARY DEANE HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
120 PROFESSIONAL PL STE 101, BRIDGEPORT, WV 26330-4599
(304) 460-5123
Mailing address
420 WATER ST, BRIDGEPORT, WV 26330-1445
(601) 941-8243
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
117587
WV
Other
Enumeration date
07/20/2023
Last updated
04/25/2026
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