IndividualActive
Amy Mcdonald, RN
NPI 1104715051 · Nutrition Support Registered Nurse · Fraziers Bottom, WV
Provider details
- NPI number
- 1104715051
- Entity type
- Individual
- Primary specialty
- Nutrition Support Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 58492 (WV)
Practice location
9737 Black Oak Rd Ste E
Fraziers Bottom, WV 25082-8006
Phone: (740) 208-0190
Mailing address
9737 Black Oak Rd Ste E
Fraziers Bottom, WV 25082-8006
Registry dates
- Enumerated
- 2025-07-02
- Last updated
- 2025-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.