| NPI | 1629299581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE M MORGAN Nurse Practitioner 304-529-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 38147) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-09-17 |