Organization
EXPRESS CARE CLINIC L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET ANN BLACKBURN CFNP (CFNP)
(304) 255-5533
Entity
Organization
Contact information
Practice address
1455 ROBERT C BYRD DR, CRAB ORCHARD, WV 25827-9441
(304) 255-5533
(304) 929-5533
Mailing address
1455 ROBERT C BYRD DR, P.O. BOX 755, CRAB ORCHARD, WV 25827-9441
(304) 255-5533
(304) 929-5533
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
48923
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7104152000
—
WV
Enumeration date
05/04/2007
Last updated
08/22/2020
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