NPI 1134845373
Ravenlou Wamsley
Practice location
- Address
- 174 Lmah Center Rd, Logan, WV 25601-4058
- Phone
- (304) 792-7130
- Fax
- (304) 896-5184
- Mailing address
- PO Box 176, Logan, WV 25601-0176
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1134845373
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Oct 2022
- Record last updated
- 19 Oct 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.