person
Anita Louise Callicoat, NP-C
Family Nurse Practitioner in Charleston, West Virginia
NPI 1386752566

Anita Louise Callicoat is a Family Nurse Practitioner based in Scott Depot, WV and is specialized in Family. Anita Louise Callicoat practices in Charleston, WV and has the professional credentials of NP-C. The NPI Number for Anita Louise Callicoat is 1386752566 and holds a License No. 59045 (West Virginia).

The current practice location address for Anita Louise Callicoat is 3501 Maccorkle Ave Se # 151, Charleston, WV and can be reached out via phone at 866-460-3567. You can also correspond with Anita Louise Callicoat through the mailing address at 105 OAKWOOD ESTS, SCOTT DEPOT, WV - 25560-9730 (mailing address contact number: 304-610-7488).

Location: 3501 Maccorkle Ave Se # 151, Charleston, WV, 25560-9730
person
Provider Profile Details
NPI Number
1386752566
Provider Name
Anita Louise Callicoat
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
3501 Maccorkle Ave Se # 151, Charleston, WV, 25560-9730
Phone Number
866-460-3567
Fax Number
Provider Enumeration Date
08/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208017790 01 WV UMWA
20801779000 01 WV WV WORKERS COMP
613154600 01 WV BLACL LUNG
P00720801 01 RAILROAD
2821307 05 OH
3810006599 05 WV
institution
Provider Business Practice Location Address Details
Address
3501 Maccorkle Ave Se # 151
City
State
Zip
25304-1419
Phone Number
866-460-3567
Fax Number
person
Provider Business Mailing Address Details
Address
105 Oakwood Ests
City
State
Zip
25560-9730
Phone Number
304-610-7488
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
59045 (West Virginia)
Definition
Definition to come...
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