Individual
PENNIE FAITH GOINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
122 12TH ST, PRINCETON, WV 24740-2312
(304) 487-7726
(304) 431-5263
Mailing address
122 12TH ST, PRINCETON, WV 24740-2312
(304) 487-7726
(304) 431-5263
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN59978FNP-BC
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001907295
BCBS
WV
01
—
002012533
BCBS
WV
05
—
0022360001
—
WV
05
—
0035334000
—
WV
05
—
3810011123
—
WV
01
—
CD7656
RR MC
WV
Enumeration date
01/21/2008
Last updated
11/08/2016
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