Doctor Name: | MRS. GRETCHEN LYNN NUTTER |
NPI Number: | 1467840975 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | COA.15995-NP |
Business Practice Address: | 859 Century Road Ravenswood, WV - 26164 |
Business Phone Number: | 3042736261 |
Business Fax Number: | |
Mailing Address: | 714 Rosita Lynn Dr, POINT PLEASANT |
State: | WV |
Postal Code: | 255508602 |
Phone Number: | 3045935343 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2015 |
NPI Last Update Date: | 01/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA.15995-NP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |