Anchor Medical Llc

NPI 1114342243 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1114342243
Enumeration Date 02/26/2014
Last Updated 09/05/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TERESA L TERESA
Position OWNER
Phone (304) 253-5155
Fax (304) 252-3471
Practice Location
1196 AIRPORT ROAD
BEAVER WV, 25813-9422, US
Phone (304) 253-5155
Fax (304) 252-3471
Business Location
PO BOX 5416
BECKLEY WV, 25801-7505, US
Phone (304) 253-5155
Fax
Toxanomy
Taxonomy Code 363L00000X
License State West Virginia
License Number 51350
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According to our database, Anchor Medical Llc NPI is 1114342243, taxonomy code is 363L00000X and license number is 51350, license state is located at West Virginia. Anchor Medical Llc physically located at 1196 Airport Road, Beaver WV, 25813-9422. NPI Number 1033115704 has the healthcare provider type.

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1114342243 NPI number is provided on an as is basis without warranty of any kind. 1114342243 is maintained by the National Plan & Provider Enumeration System. The contents of Anchor Medical Llc are for informational purposes only.