Individual
MICHAEL MACCOURTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2830 ROSENEATH RD, HUNTINGTON, WV 25705-1617
(304) 544-0959
Mailing address
2830 ROSENEATH RD, HUNTINGTON, WV 25705-1617
(304) 544-0959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
100516
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
124081
WV
Other
Enumeration date
10/07/2024
Last updated
12/31/2025
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