Individual
ALLISON DAWN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
401 N PIKE ST, GRAFTON, WV 26354-1268
(304) 265-1350
Mailing address
PO BOX 763, MORGANTOWN, WV 26507-0763
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN79236-NP-C
WV
Other
Enumeration date
10/22/2015
Last updated
06/29/2017
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