Individual
NATASHA NICOLE KOWALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
651 COLLIERS WAY STE 511, WEIRTON, WV 26062-5054
(304) 723-6801
Mailing address
2930 MCKIMS RIDGE RD, COLLIERS, WV 26035-1296
(304) 374-2719
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
89228
WV
363LF0000X
Family Nurse Practitioner
Primary
114578
WV
Other
Enumeration date
08/14/2022
Last updated
10/03/2022
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