IndividualActive
Allen Harodetsky
NPI 1508507971 · Registered Nurse · Morgantown, WV
Provider details
- NPI number
- 1508507971
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 91370 (WV)
Specialties & taxonomies
Nursing Service Providers
Practice location
30 Mon General Dr Ste 2
Morgantown, WV 26505-2853
Phone: (304) 598-5151
Approximate (ZIP-level) locationGet directions
Mailing address
30 Mon General Dr Ste 2
Morgantown, WV 26505-2853
Registry dates
- Enumerated
- 2022-04-07
- Last updated
- 2022-04-07
- Certified
- 2022-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.