Individual provider · Type 1 NPI
Gretchen Sue Hennigan, FNP
Family Nurse Practitioner · Bridgeport, WV
NPI number
1265058697
Active
Practice location
231 Maple Ave
Bridgeport, WV 26330-1440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 59712 (WV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1265058697
Gretchen Sue Hennigan, FNP's National Provider Identifier is 1265058697, issued on Jun 22, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bridgeport, WV. The record was last updated on Jun 22, 2020.