Individual provider · Type 1 NPI

Glenna Rose Godfrey

Physician Assistant · Fairmont, WV

NPI number 1720859424 Active

Practice location

1377 Locust Ave
Fairmont, WV 26554-1791

Call (855) 988-2273 Map

Mailing address

333 Vale Cir
Fairmont, WV 26554-6188

Other practice locations

6040 University Town Centre Dr, Morgantown, WV 26501-2421 · (304) 598-6900
100 Stoney Hill Rd, Fairmont, WV 26554-1589 · (855) 988-2273

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	3219 (WV)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1720859424

Glenna Rose Godfrey's National Provider Identifier is 1720859424, issued on Jan 11, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fairmont, WV. The record was last updated on Jul 23, 2026.