Healthcare Provider Details

I. General information

NPI: 1982899639
Provider Name (Legal Business Name): CHARITY DELANE KNICELEY WOODS APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2007
Last Update Date: 09/28/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 MUNICIPAL
BURNSVILLE WV
26335
US

IV. Provider business mailing address

110 MUNICIPAL
BURNSVILLE WV
26335
US

V. Phone/Fax

Practice location:
  • Phone: 304-853-2278
  • Fax: 304-853-2520
Mailing address:
  • Phone: 304-853-2278
  • Fax: 304-853-2520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number56272
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: