Little Beaver Family Clinic

NPI 1558447805 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1558447805
Enumeration Date 10/30/2006
Last Updated 10/10/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CHERYL L CHERYL
Position OWNER/PRESIDENT
Phone (304) 742-3570
Fax (304) 742-3572
Practice Location
16130 WEBSTER RD.
CRAIGSVILLE WV, 26205-1728, US
Phone (304) 742-3570
Fax (304) 742-3572
Business Location
PO BOX 1728
CRAIGSVILLE WV, 26205-1728, US
Phone (304) 742-3570
Fax (304) 742-3572
Toxanomy
Taxonomy Code 363LF0000X
License State West Virginia
License Number 52802
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According to our database, Little Beaver Family Clinic NPI is 1558447805, taxonomy code is 363LF0000X and license number is 52802, license state is located at West Virginia. Little Beaver Family Clinic physically located at 16130 Webster Rd., Craigsville WV, 26205-1728. NPI Number 1033115704 has the healthcare provider type.

1558447805 NPI number is provided on an as is basis without warranty of any kind. 1558447805 is maintained by the National Plan & Provider Enumeration System. The contents of Little Beaver Family Clinic are for informational purposes only.