| NPI | 1518058049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN COLLETT VELTMAN Owner 304-229-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 54825) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |