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Phoenix Rising Healthcare
Primary Care Nurse Practitioner in Fairmont, West Virginia
NPI 1093284937

Phoenix Rising Healthcare is a Primary Care Nurse Practitioner based in Fairmont, WV and is specialized in Primary Care. Phoenix Rising Healthcare practices in Fairmont, WV. The NPI Number for Phoenix Rising Healthcare is 1093284937 and holds a License No. (West Virginia).

The current practice location address for Phoenix Rising Healthcare is 5 Erwin Ln Ste A, Fairmont, WV and can be reached out via phone at 304-366-0111 and via fax at 304-366-2099.

Location: 5 Erwin Ln Ste A, Fairmont, WV, 26555-1286
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093284937
Provider Name
Phoenix Rising Healthcare
Credential
Provider Entity Type
Organization
Address
5 Erwin Ln Ste A, Fairmont, WV, 26555-1286
Phone Number
304-366-0111
Fax Number
304-366-2099
Provider Enumeration Date
11/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5 Erwin Ln Ste A
City
Fairmont
State
West Virginia
Zip
26554-1376
Phone Number
304-366-0111
Fax Number
304-366-2099
person
Provider Business Mailing Address Details
Address
5 Erwin Ln Ste A
City
Fairmont
State
West Virginia
Zip
26554-1376
Phone Number
304-366-0111
Fax Number
304-366-2099
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
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Definition
Definition to come...
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