Individual
ROBERT ZICKAFOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
701 MADISON AVE, MADISON, WV 25130-1669
(304) 369-1230
Mailing address
2172 UPPER CRAWLEY CREEK RD, CHAPMANVILLE, WV 25508-7178
(304) 953-3974
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
121153
WV
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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