# UHA NURSE PRACTITIONERS (NPGRP)

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

## Provider details

- **NPI number:** 1407062763
- **Authorized official:** TERRY D MILLER (PROVIDER RELATIONS ANALYST)
- **Authorized official phone:** (304) 293-5033

## Contact information

- **Practice address:** 1 STADIUM DRIVE, MORGANTOWN, WV 26506
- **Practice address phone:** (304) 598-4000
- **Practice address fax:** (304) 293-6963
- **Mailing address:** PO BOX 897, MORGANTOWN, WV 26507-0897
- **Mailing address phone:** (304) 293-5033
- **Mailing address fax:** (304) 293-6963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 0012053000 | WV | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 08/22/2020