| NPI | 1033048335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS RODEL BORJA Director For Clinical Operations 304-207-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2026-05-14 |
| Last Update Date | 2026-05-14 |