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NPI Code Detail

MEDICARE: ANDREA NICOLE PRITCHARD LPN

MEDICARE: ANDREA NICOLE PRITCHARD LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse27140WV

General Provider Information

NPI Number : 1639390347
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA NICOLE PRITCHARD LPN
Provider Business Mailing Address
First Line : 389 KENTUCK FRK
Second Line :
City : BRANCHLAND
State : WV
Zip : 25506-9640
Country : US
Telephone Number : 304-778-3481
Fax Number :
Provider Business Practice Location Address
First Line : 135 4TH AVE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-1219
Country : US
Telephone Number : 304-526-5691
Fax Number : 304-781-1021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 07/08/2007

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Directions to “ ANDREA NICOLE PRITCHARD LPN” Practice Location

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