Nicole Radabaugh
Nurse Practitioner - Family Medicine
300 Minuteman Dr
Weston
, West Virginia 26452-2200
Nicole Radabaugh
Nurse Practitioner - Family Medicine
300 Minuteman Dr
Weston
, West Virginia 26452-2200
(304) 226-3274
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Nicole Radabaugh
- 10003 Webster Rd
- Camden On Gauley, WV
- Zip : 26208-7713
- Fax : (304) 226-3274
- Phone : (304) 226-5725
Second Address
- Nicole Radabaugh
- 300 Minuteman Dr
- Weston, WV
- Zip : 26452-2200
- Fax : (304) 269-0165
- Phone : (304) 999-7870
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FAQs
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Is Nicole Radabaugh a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN59918-NP-C | WV |
National Provider Identifier
| NPI | 1003203316 |
|---|---|
| Provider Name | Nicole Radabaugh |
| First Address | Camden On Gauley, WV 26208-7713 |
| Second Address | Weston, WV 26452-2200 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2015 |
| Last Update Date | 23/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3810029176 | (05) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.