| NPI | 1760043434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD T HOTT Nurse Practitioner 304-851-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |