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Gina L. Diddle, FNP-BC

Nurse Practitioner in Charleston, WV. Individual provider (NPI-1).

NPI number1609017136
StatusActive
Last updated in NPPESMar 12, 2009

Details

NPI
1609017136
Entity type
Individual (NPI-1)
Name
Gina L. Diddle
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Mar 12, 2009
Last updated
Mar 12, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner2008006926WVYes

Practice location

501 Morris Street
Charleston, WV 25301

Phone 304-388-3322 · Fax 304-388-3978

Mailing address

501 Morris Street
Charleston, WV 25301

Phone 304-388-3322 · Fax 304-388-3978

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