Individual
LINDSAY ANNETTE FOWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
1000 MON HEALTH MEDICAL PARK DR STE 1103, MORGANTOWN, WV 26505-1143
(304) 599-1448
(304) 599-5335
Mailing address
PO BOX 1615, MORGANTOWN, WV 26507-1615
(304) 599-1448
(304) 599-5335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57337
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001719641
BLUE CROSS BLUE SHIELD
—
05
—
3810000786
—
WV
Enumeration date
10/23/2006
Last updated
06/17/2020
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