Individual
KRISTA PARCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
108 WASHINGTON ST W STE 201, CHARLESTON, WV 25302-2344
(304) 345-2229
(304) 201-5065
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
363LF0000X
Family Nurse Practitioner
APRN70617-FNP-BC
WV
367A00000X
Advanced Practice Midwife
Primary
APRN70617MIDWIFE
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810029868
—
WV
Enumeration date
09/15/2015
Last updated
10/15/2019
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