Lisa Childress FNP-C

NPI 1770983785 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1770983785
Gender Female
Enumeration Date 08/27/2014
Last Updated 05/28/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
3375 US ROUTE 60
HUNTINGTON WV, 25705-2837, US
Phone (304) 399-7770
Fax (304) 525-1730
Business Location
PO BOX 1680
HUNTINGTON WV, 25717-1680, US
Phone (304) 697-1396
Fax (304) 697-2086
Toxanomy
Taxonomy Code 363L00000X
License State West Virginia
License Number 71599
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According to our database, Lisa Childress FNP-C NPI is 1770983785, taxonomy code is 363L00000X and license number is 71599, license state is located at West Virginia. Lisa Childress FNP-C physically located at 3375 Us Route 60, Huntington WV, 25705-2837. NPI Number Lisa Childress FNP-C has the Individual type.

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1770983785 NPI number is provided on an as is basis without warranty of any kind. 1770983785 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Childress FNP-C are for informational purposes only.