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Cynthia Pettry
School Registered Nurse in Madison, West Virginia
NPI 1255501078

Cynthia Pettry is a School Registered Nurse based in Dunbar, WV and is specialized in School. Cynthia Pettry practices in Madison, WV. The NPI Number for Cynthia Pettry is 1255501078 and holds a License No. 44494 (West Virginia).

The current practice location address for Cynthia Pettry is 69 Avenue B, Madison, WV and can be reached out via phone at 304-369-3131 and via fax at 304-369-6789.

Location: 69 Avenue B, Madison, WV, 25064-1711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255501078
Provider Name
Cynthia Pettry
Credential
Provider Entity Type
Individual
Gender
Female
Address
69 Avenue B, Madison, WV, 25064-1711
Phone Number
304-369-3131
Fax Number
304-369-6789
Provider Enumeration Date
03/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9703039000 05 WV
institution
Provider Business Practice Location Address Details
Address
69 Avenue B
City
Madison
State
West Virginia
Zip
25130-1162
Phone Number
304-369-3131
Fax Number
304-369-6789
person
Provider Business Mailing Address Details
Address
69 Avenue B
City
Madison
State
West Virginia
Zip
25130-1162
Phone Number
304-369-3131
Fax Number
304-369-6789
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
44494 (West Virginia)
Definition
Definition to come...
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