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: |