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Individual

ANDREA PIERPONT JUSTICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
RTE 219 & 250, MILL CREEK, WV 26280-0247
(443) 858-4265
Mailing address
PO BOX 247, MILL CREEK, WV 26280-0247
(443) 858-4265

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R107995
MD

Other

Enumeration date
01/06/2006
Last updated
11/09/2012
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