| NPI | 1407283245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LEA PHARES Nurse Practitioner 304-574-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN77359-FNP-BC) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |