Individual
CAROL BRICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3800
(304) 526-2319
(304) 526-2420
Mailing address
1340 HAL GREER BLVD, ATTN: TAMMIE SILVA, HUNTINGTON, WV 25701-3800
(304) 526-2319
(304) 526-2420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4996P
KY
363L00000X
Nurse Practitioner
Primary
APRN83001-FNP-BC
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000599769
ANTHEM
KS
05
—
2705264
—
OH
05
—
3810007722
—
WV
05
—
7100000490
—
KY
Enumeration date
12/12/2006
Last updated
11/25/2013
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