Brenda Moody Walker RN,MSN,CFNP

NPI 1013971761 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1013971761
Gender Female
Enumeration Date 04/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
830 PENNSYLVANIA AVE
SUITE 200
CHARLESTON WV, 25302-3302, US
Phone (304) 343-1863
Fax (304) 344-1755
Business Location
1118 MONTROSE DR
SOUTH CHARLESTON WV, 25303-2920, US
Phone (304) 343-1863
Fax (304) 344-1755
Toxanomy
Taxonomy Code 363L00000X
License State West Virginia
License Number 18804
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According to our database, Brenda Moody Walker RN,MSN,CFNP NPI is 1013971761, taxonomy code is 363L00000X and license number is 18804, license state is located at West Virginia. Brenda Moody Walker RN,MSN,CFNP physically located at 830 Pennsylvania Ave, Charleston WV, 25302-3302. NPI Number Brenda Moody Walker RN,MSN,CFNP has the Individual type.

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1013971761 NPI number is provided on an as is basis without warranty of any kind. 1013971761 is maintained by the National Plan & Provider Enumeration System. The contents of Brenda Moody Walker RN,MSN,CFNP are for informational purposes only.