Individual
MRS. HEATHER ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1398
(304) 766-3601
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1398
(304) 766-3601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
108878
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN108878
WV
Other
Enumeration date
04/06/2021
Last updated
09/01/2024
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