| NPI | 1578016093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS SHREWSBURY CEO/Nurse Practitioner 304-575-3279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA15504NP) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-12-29 |