Search › West Virginia › 3747P1801X
Ida Breeden
NPI 1023613106 · on the registry since 2020
Practice
- Address
- 600 Trent Street
Princton, WV 24701 - Phone
- (304) 425-7111
- Fax
- (304) 425-1138
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Also registered as
- 376J00000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia