Organization · Type 2 NPI
Imagine Medispa
Family Nurse Practitioner · Beckley, WV
NPI number
1407283245
Active
Practice location
321 Dry Hill Rd
Beckley, WV 25801-2601
Mailing address
127 Oakwood Cir
Fayetteville, WV 25840-6648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN77359-FNP-BC (WV) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1407283245
Imagine Medispa's National Provider Identifier is 1407283245, issued on Oct 10, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Beckley, WV. The record was last updated on Oct 10, 2013.