Phoenix Rising Healthcare
Phoenix Rising Healthcare provides Primary Care Nurse Practitioner services in Fairmont, West Virginia. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
5 Erwin Ln Ste AFairmont, WV 26554-1376
Phone: (304) 366-0111
Fax: (304) 366-2099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X |
|---|
Record details
| NPI number | 1093284937 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Traci Tannehill — Managing Member Of Llc · (304) 366-0111 |
| NPI enumerated | November 21, 2018 |
| Last updated in NPPES | October 15, 2020 |
| Certification date | October 15, 2020 |
| Mailing address | Po Box 1286, Fairmont, WV 26555-1286 |
Other providers in Fairmont
-
Dailinn C Spitznogle, FNP-C
1539 Country Club Rd, Fairmont, WV 26554-1306 · (304) 366-9100
-
Sariah Dale Waldron
1322 Locust Ave, Fairmont, WV 26554-1436 · (304) 366-0700