| NPI | 1467963967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARITA ELAINE BOWERS Owner, Nurse Practitioner 304-839-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 61469) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |