Organization · Type 2 NPI
Coal River Primary Care and Wellness Center LLC
Family Nurse Practitioner · Nellis, WV
NPI number
1487284451
Active
Practice location
62 Fork Creek Rd
Nellis, WV 25142-9737
Fax (304) 833-0030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Family Health Clinical Nurse Specialist | 364SF0001X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1487284451
Coal River Primary Care and Wellness Center LLC's National Provider Identifier is 1487284451, issued on Jan 18, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Nellis, WV. The record was last updated on Apr 5, 2022.