Individual
STACIE KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2101 JACOB ST STE 502, WHEELING, WV 26003-3800
(304) 234-8476
Mailing address
4551 FAIRMONT PIKE RD, WHEELING, WV 26003-7615
(304) 233-2625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN68719
WV
Other
Enumeration date
02/01/2018
Last updated
09/19/2022
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