person
Takara Leeann Muncy
Family Nurse Practitioner in Logan, West Virginia
NPI 1114671906

Takara Leeann Muncy is a Family Nurse Practitioner based in Logan, WV and is specialized in Family. Takara Leeann Muncy practices in Logan, WV. The NPI Number for Takara Leeann Muncy is 1114671906 and holds a License No. 112055 (West Virginia).

The current practice location address for Takara Leeann Muncy is 174 Lmah Center Rd, Logan, WV and can be reached out via phone at 304-792-7130 and via fax at 304-792-7146.

Location: 174 Lmah Center Rd, Logan, WV, 25601-4058
person
Provider Profile Details
NPI Number
1114671906
Provider Name
Takara Leeann Muncy
Credential
Provider Entity Type
Individual
Gender
Female
Address
174 Lmah Center Rd, Logan, WV, 25601-4058
Phone Number
304-792-7130
Fax Number
304-792-7146
Provider Enumeration Date
02/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
174 Lmah Center Rd
City
State
Zip
25601-4058
Phone Number
304-792-7130
Fax Number
304-792-7146
person
Provider Business Mailing Address Details
Address
174 Lmah Center Rd
City
State
Zip
25601-4058
Phone Number
304-792-7130
Fax Number
304-792-7146
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
112055 (West Virginia)
Definition
Definition to come...
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