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Contact Information

AMY MCDONALD, RN
9737 BLACK OAK RD STE E
FRAZIERS BOTTOM, WV25082-8006
 Phone: 740-208-0190
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition Support

163WN1003X
Indicates primary specialty

NPI Profile & details for AMY MCDONALD · (Female)

NPI # 1104715051
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/02/2025
Last updated 07/02/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • WV License # 58492
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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