Individual provider · Type 1 NPI

Katrina Rose Tilton, C-NP

Nurse Practitioner · Charleston, WV

NPI number 1205335569 Active

Practice location

3100 Maccorkle Ave SE Ste 205
Charleston, WV 25304-1228

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X111820 (WV)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1205335569

Katrina Rose Tilton, C-NP's National Provider Identifier is 1205335569, issued on Feb 1, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charleston, WV. The record was last updated on Aug 13, 2025.