Mrs. STACY DAWN ALLPORT-PRIDEMORE FNP BC
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1649872425- Provider Type
- Individual Provider (NPI-1)
- Credentials
- FNP BC
- Status
- Active
Contact & Location
- Address
- 332 6TH AVE, SOUTH CHARLESTON, WV, 253031246
- Phone
- (304) 343-1950
- Fax
- (866) 225-4179
Specialties & Taxonomies
Nurse Practitioner
Primary License: WV #107640