PRESTON URGENT CARE FAMILY PRACTICE LLC NPI 1720358252

NPI Information

NPI: 1720358252
Provider Name: PRESTON URGENT CARE FAMILY PRACTICE, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 51D2034672

Address:
411 MORGANTOWN ST
KINGWOOD, WV
ZIP 26537
Phone: (304) 329-0555
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PRESTON URGENT CARE FAMILY PRACTICE, LLC is a family nurse practitioner in Kingwood, WV. PRESTON URGENT CARE FAMILY PRACTICE, LLC NPI is 1720358252. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

411 MORGANTOWN ST
KINGWOOD, WV
ZIP 26537-095
Phone: (304) 329-0555

The provider's authorized official is Peggy S. Phillips .
The authorized official title is Nurse Practitioner/owner and has the following contact phone number (304) 329-0555.

The CLIA number assigned to this NPI record is 51D2034672 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2011 and was last updated on 4/8/2020.

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
1	363LF0000X	Nurse Practitioner	Family	30549	WEST VIRGINIA	Yes

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: 4/28/2024

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