RUSSELL E MATHEWS

MORGANTOWN, WV
NPI1740304740
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner Neonatal
(Licence: WV  57233)
Enumeration Date2007-03-17
Last Update Date2022-04-15
Business Address
RUSSELL E MATHEWS CNNP
101 STADIUM DR
MORGANTOWN, WV 26506-7911
Phone number: 304-598-4000
Mailing Address
RUSSELL E MATHEWS CNNP
PO BOX 897
MORGANTOWN, WV 26507-0897
Phone number: 304-293-7401