Individual
MS. TERESA SUE CALHOUN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
130 GOFF MOUNTAIN RD, CROSS LANES, WV 25313-1419
(304) 776-4453
(304) 776-4456
Mailing address
PO BOX 1320, SAINT ALBANS, WV 25177-1320
(304) 388-1764
(304) 388-1721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9600071-000
—
WV
Enumeration date
04/10/2006
Last updated
07/08/2007
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