Individual
MATRACA GUNNOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103822
WV
363LF0000X
Family Nurse Practitioner
AC002833
MD
363LF0000X
Family Nurse Practitioner
SP021913
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366094823
—
WV
05
—
158232100
—
MD
Enumeration date
07/15/2019
Last updated
04/15/2022
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