Individual
LAUREN M LINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
515 MAIN ST, MADISON, WV 25130-1417
(304) 369-0393
(304) 369-0786
Mailing address
97 GREAT TEAYS BLVD, STE 6, SCOTT DEPOT, WV 25560-9815
(304) 757-6999
(304) 757-3252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN71873-FNP-BC
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760890412
—
WV
05
—
3810027699
—
WV
Enumeration date
07/25/2014
Last updated
08/02/2019
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