| NPI | 1720358252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY S. PHILLIPS Nurse Practitioner/Owner 304-329-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 30549) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2020-04-08 |