institution
Dermatology Outreach, Llc
Family Nurse Practitioner in Bridgeport, West Virginia
NPI 1558678623

Dermatology Outreach, Llc is a Family Nurse Practitioner based in Bridgeport, WV and is specialized in Family. Dermatology Outreach, Llc practices in Bridgeport, WV. The NPI Number for Dermatology Outreach, Llc is 1558678623 and holds a License No. 50679 (West Virginia).

The current practice location address for Dermatology Outreach, Llc is 111 State St., Bridgeport, WV and can be reached out via phone at 304-842-3341 and via fax at 304-842-3441.

Location: 111 State St., Bridgeport, WV, 26330
institution
Provider Profile Details
NPI Number
1558678623
Provider Name
Dermatology Outreach, Llc
Credential
Provider Entity Type
Organization
Address
111 State St., Bridgeport, WV, 26330
Phone Number
304-842-3341
Fax Number
304-842-3441
Provider Enumeration Date
09/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7103093000 05 WV
2633814 05 OH
institution
Provider Business Practice Location Address Details
Address
111 State St.
City
State
Zip
26330
Phone Number
304-842-3341
Fax Number
304-842-3441
person
Provider Business Mailing Address Details
Address
111 State St.
City
State
Zip
26330
Phone Number
304-842-3341
Fax Number
304-842-3441
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
50679 (West Virginia)
Definition
Definition to come...
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