Healthcare Provider Details

I. General information

NPI: 1477473361
Provider Name (Legal Business Name): EMILY MCPHAIL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date: 07/29/2026
Reactivation Date: 08/21/2026

III. Provider practice location address

3819 CHESTERFIELD AVE
CHARLESTON WV
25304-2647
US

IV. Provider business mailing address

1741 MOUNT ALPHA RD
CHARLESTON WV
25304-2734
US

V. Phone/Fax

Practice location:
  • Phone: 304-925-4771
  • Fax:
Mailing address:
  • Phone: 304-382-8674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number112711
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: