Most Relevant Information
Provider Data
NPI Number: | 1003530437 |
Provider Name: | CARRIE LYNN WEBER |
Entity Type: | Individual |
Taxonomy Code: | 163W00000X |
Specialty: | Registered Nurse |
License Number: | 109638 |
Most Important Dates
Enumeration Date: | 09/29/2022 |
Last Updated: | 09/29/2022 |
Provider Practice Location
400 TRACY WAY
CHARLESTON
WV
253111280
Practice Location Phone/Fax
Phone: | 3047200205 |
Fax: |
Provider Mailing Location
5309 ALPINE DR
CHARLESTON
WV
253131603
Provider Mailing Phone/Fax
Phone: | |
Fax: |