MEDICARE: EMILY FAITH ANDERSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0200X	Critical Care Medicine Registered Nurse	114394	WV
2	163WE0003X	Emergency Registered Nurse	114394	WV

General Provider Information

NPI Number	:	1437092426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY FAITH ANDERSON

Provider Business Mailing Address
First Line	:	2160 KINCHELOE RD
Second Line	:
City	:	JANE LEW
State	:	WV
Zip	:	26378-6818
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MEDICAL CENTER DR
Second Line	:
City	:	CLARKSBURG
State	:	WV
Zip	:	26301
Country	:	US
Telephone Number	:	304-623-3461
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ EMILY FAITH ANDERSON ” Practice Location

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