| NPI | 1396329769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONA FAY COOK Doctorate Nurse Practitioner 304-433-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2022-10-18 |