Individual
MRS. LINDSAY RUTH GOTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(045) 261-2343
Mailing address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(045) 261-2343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
114368
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114368
FNP-C
WV
01
—
716441
NY RN
NY
01
—
98273
WV RN
WV
Enumeration date
10/03/2022
Last updated
03/25/2025
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