Organization · Type 2 NPI

Primary Care at Home of West Virginia, LLC

Nurse Practitioner · Charleston, WV

NPI number 1386163392 Active

Practice location

414 Greenway Ave Ste 201
Charleston, WV 25309-1475

Fax (304) 885-7475

Mailing address

PO Box 51266
Lafayette, LA 70505-1266

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

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 1386163392

Primary Care at Home of West Virginia, LLC's National Provider Identifier is 1386163392, issued on Sep 12, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charleston, WV. The record was last updated on Sep 12, 2017.