Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dermatology Outreach, LLC

Organization Family Nurse Practitioner · NPI 1558678623

Dermatology Outreach, LLC is a Family Nurse Practitioner in Bridgeport, West Virginia. Licensed in West Virginia. Registered with an NPI since 2010.

Licensed in
WV
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 State St
Bridgeport, WV 26330
Phone: (304) 842-3341
Fax: (304) 842-3441
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 50679 (WV)

Record details

NPI number1558678623
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristi Lafferty — Owner · (304) 842-3341
NPI enumeratedSeptember 9, 2010
Last updated in NPPESMay 17, 2013
Mailing address111 State St., Bridgeport, WV 26330

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