Individual
ERIN LISTERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM, APRN
Contact information
Practice address
97 GREAT TEAYS BLVD, STE 6, SCOTT DEPOT, WV 25560-9815
(304) 757-6999
(304) 201-5019
Mailing address
97 GREAT TEAYS BLVD, STE 6, SCOTT DEPOT, WV 25560-9815
(304) 757-6999
(304) 201-5019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
78395
WV
367A00000X
Advanced Practice Midwife
Primary
APRN78395MIDWIFE
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245778232
—
WV
Enumeration date
02/09/2017
Last updated
08/02/2019
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