Individual
DR. ALVITA KAY NATHANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
209 E GRANDVIEW DR, PRINCETON, WV 24740-3844
(304) 425-0645
Mailing address
209 E GRANDVIEW DR, PRINCETON, WV 24740-3844
(304) 425-0645
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21794
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166621000
—
WV
Enumeration date
11/02/2006
Last updated
07/08/2007
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