Individual
JOHANNA MCQUAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN,MA
Contact information
Practice address
40 11TH ST, ELKINS, WV 26241-4502
(304) 624-6554
(304) 624-5223
Mailing address
40 11TH ST, ELKINS, WV 26241-4502
(304) 624-6554
(304) 624-5223
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
32381
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161480000
—
WV
Enumeration date
04/02/2008
Last updated
04/02/2008
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