Individual
MRS. AIMEE MICHELLE COLEGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
872 ROUTE 65, WILLIAMSON, WV 25661-7497
(304) 475-3700
(304) 475-3780
Mailing address
872 ROUTE 65, WILLIAMSON, WV 25661-7497
(304) 475-3700
(304) 475-3780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57377
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0913283
AMERICAN ACADEMY OF NURSE PRACTITIONERS
WV
Enumeration date
09/16/2013
Last updated
06/30/2021
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