Individual
KATIE PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,FNP
Contact information
Practice address
240 ALLEGHENY HWY, ELKINS, WV 26241-5749
(304) 636-0133
Mailing address
PO BOX 247, MILL CREEK, WV 26280-0247
(304) 335-2050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
117106
WV
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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