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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDA MICHELLE BREEDEN

Active

IDA MICHELLE BREEDEN is a Foot & Ankle Surgery healthcare provider located in PRINCTON, West Virginia. NPI 1023613106 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · PRINCTON, WV

Registration Details

NPI Number
1023613106
Provider Type
Individual
Gender
Female
NPI Issued
Dec 4, 2020 (5.6772807166818 yrs)
Last Updated
Dec 14, 2021
Licenses
1568796027 (WV)
1568796027 (WV)

Practice Information

Address
600 TRENT STREET
PRINCTON, WV, 24701
Browse WV providers · Browse ZIP 24701
Phone
3044257111
Fax
3044251138
Primary Specialty
Foot & Ankle Surgery
3747P1801X
Additional Specialty
Foot & Ankle Surgery

Other Foot & Ankle Surgery Providers in PRINCTON, WV

Name Credential NPI
VERNA MAE BARIE 1205432184
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.