Search › West Virginia › 363L00000X
Stacy Allport-Pridemore, FNP BC
NPI 1649872425 · on the registry since 2020
Practice
- Address
- 332 6th Ave
South Charleston, WV 25303 - Phone
- (304) 343-1950
- Fax
- (866) 225-4179
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-19
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