| NPI | 1487284451 |
|---|---|
| Doing Business As | COAL RIVER PRIMARY |
| Entity Type | Organization |
| Authorized Contact | REBECCA RUBY BARKER Sole Owner; Fnp Bc 304-833-0815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 364SF0001X Clinical Nurse Specialist, Family Health | |
| Enumeration Date | 2020-01-18 |
| Last Update Date | 2022-04-05 |