Organization
ELKVIEW HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI SPURLOCK FNP (OWNER)
(304) 935-2026
Entity
Organization
Contact information
Practice address
105 CREDES LNDG, ELKVIEW, WV 25071-8185
(304) 935-2026
(304) 935-2073
Mailing address
PO BOX 3391, CHARLESTON, WV 25333-3391
(304) 935-2026
(304) 935-2073
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810012013
—
WV
Enumeration date
04/08/2019
Last updated
09/10/2019
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