# ANCHOR MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114342243
- **Authorized official:** TERESA L TATE MSN, APRN, FNP-BC (OWNER)
- **Authorized official phone:** (304) 253-5155

## Contact information

- **Practice address:** 106 LOCKHEED DR, BEAVER, WV 25813-8962
- **Practice address phone:** (304) 253-5155
- **Mailing address:** 106 LOCKHEED DR, BEAVER, WV 25813-8962
- **Mailing address phone:** (304) 253-5155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 51350 | WV | Yes |

## Other

- **Enumeration date:** 02/26/2014
- **Last updated:** 09/28/2022