Organization
ANCHOR MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA L TATE MSN, APRN, FNP-BC (OWNER)
(304) 253-5155
Entity
Organization
Contact information
Practice address
106 LOCKHEED DR, BEAVER, WV 25813-8962
(304) 253-5155
Mailing address
106 LOCKHEED DR, BEAVER, WV 25813-8962
(304) 253-5155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
51350
WV
Other
Enumeration date
02/26/2014
Last updated
09/28/2022
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