ANITA LOUISE CALLICOAT

CHARLESTON, WV
NPI1386752566
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  59045)
Enumeration Date2006-08-28
Last Update Date2013-05-30
Business Address
-- ANITA LOUISE CALLICOAT NP-C
3501 MACCORKLE AVE SE # 151
CHARLESTON, WV 25304-1419
Phone number: 866-460-3567
Mailing Address
-- ANITA LOUISE CALLICOAT NP-C
105 OAKWOOD ESTS
SCOTT DEPOT, WV 25560-9730
Phone number: 304-610-7488