Individual
SUSAN R ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
(304) 630-3031
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104911
WV
363LF0000X
Family Nurse Practitioner
12763
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952579963
—
WV
Enumeration date
02/12/2008
Last updated
04/26/2024
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