| NPI | 1679929236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY R CUMMINGS Family Nurse Practitioner 304-322-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2018-11-21 |