| NPI | 1952196230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON HENNESSEY Authorized Official 304-276-9254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |