ELEVATION FAMILY WELLNESS NPI 1295341253

NPI Information

  • NPI: 1295341253
  • Provider Name: ELEVATION FAMILY WELLNESS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 1044 HITE CIR
    FAIRMONT, WV
    ZIP 26554
  • Phone: (304) 476-8497

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NPI Details

ELEVATION FAMILY WELLNESS is a family nurse practitioner in Fairmont, WV. ELEVATION FAMILY WELLNESS NPI is 1295341253. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1044 HITE CIR
FAIRMONT, WV
ZIP 26554-398
Phone: (304) 476-8497
Fax: (772) 238-2080

The provider's authorized official is Amber S Weaver .
The authorized official title is President and has the following contact phone number (304) 476-8497.

The enumeration date for this NPI number is 9/16/2020 and was last updated on 2/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11114448768MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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