Individual
MICAH PRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
810 GRAYSON AVE, COVINGTON, VA 24426-6353
(540) 962-8222
Mailing address
1322 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 647-1139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111132
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111132
WV
WV
Enumeration date
11/10/2021
Last updated
11/10/2021
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