| NPI | 1851580468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE NEWELL Office Manager 304-469-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2008-06-05 |