| NPI | 1275974008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA J. HAMMER CFO 304-637-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 69937) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |