| NPI | 1184958472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ELISABETH WAYBRIGHT Practice Administrator 304-225-2236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 54321) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |