Individual
ELIZABETH A MINCHAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 598-6900
(304) 598-6914
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57373
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7103107000
—
WV
Enumeration date
08/31/2006
Last updated
02/27/2012
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