Individual provider · Type 1 NPI

Justine Detrow

Licensed Practical Nurse · Huntington, WV

NPI number 1295457570 Active

Practice location

5187 US Route 60 Ste 13
Huntington, WV 25705-2076

Call (304) 733-5010 Map

Mailing address

618 Right Fork Georges Creek Rd
Louisa, KY 41230-6726

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2052441 (KY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1295457570

Justine Detrow's National Provider Identifier is 1295457570, issued on Sep 14, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Huntington, WV. The record was last updated on Sep 14, 2022.