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NPI Code Detail

MEDICARE: COURTNEY TALIK CRNP

MEDICARE: COURTNEY TALIK CRNP
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
1207Q00000XFamily Medicine Physician114391WV

General Provider Information

NPI Number : 1679180053
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY TALIK CRNP
Provider Business Mailing Address
First Line : 1 MEDICAL CENTER DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26506-1200
Country : US
Telephone Number : 304-293-7332
Fax Number :
Provider Business Practice Location Address
First Line : 1 MEDICAL CENTER DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26506-1200
Country : US
Telephone Number : 304-293-7332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2020
Last Update Date : 06/04/2026

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Directions to “ COURTNEY TALIK CRNP” Practice Location

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