Organization
GREENBRIER COUNTY BOARD OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI DOLAN RN (NURSE DIRECTOR)
(304) 645-1787
Entity
Organization
Contact information
Practice address
9207 SENECA TRL, RONCEVERTE, WV 24970-1328
(304) 645-1787
(304) 645-3630
Mailing address
9207 SENECA TRL, RONCEVERTE, WV 24970-1328
(304) 645-1787
(304) 645-3630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15358
WV
363L00000X
Nurse Practitioner
37552
WV
363L00000X
Nurse Practitioner
53104
WV
Other
Enumeration date
06/13/2014
Last updated
09/18/2014
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