Uha Nurse Practitioners (npgrp)

NPI 1407062763 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1407062763
Enumeration Date 05/15/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TERRY D TERRY
Position PROVIDER RELATIONS ANALYST
Phone (304) 598-4000
Fax (304) 293-6963
Practice Location
1 STADIUM DRIVE
MORGANTOWN WV, 26506, US
Phone (304) 598-4000
Fax (304) 293-6963
Business Location
PO BOX 897
MORGANTOWN WV, 26507-0897, US
Phone (304) 293-5033
Fax (304) 293-6963
Toxanomy
Taxonomy Code 363L00000X
License State West Virginia
License Number 0012053000
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According to our database, Uha Nurse Practitioners (npgrp) NPI is 1407062763, taxonomy code is 363L00000X and license number is 0012053000, license state is located at West Virginia. Uha Nurse Practitioners (npgrp) physically located at 1 Stadium Drive, Morgantown WV, 26506. NPI Number 1033115704 has the healthcare provider type.

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1407062763 NPI number is provided on an as is basis without warranty of any kind. 1407062763 is maintained by the National Plan & Provider Enumeration System. The contents of Uha Nurse Practitioners (npgrp) are for informational purposes only.