Healthcare Provider Details

I. General information

NPI: 1285921312
Provider Name (Legal Business Name): DANIEL LEE VANHOOSE APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2011
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2827 5TH AVE
HUNTINGTON WV
25702-1435
US

IV. Provider business mailing address

3075 US ROUTE 60
HUNTINGTON WV
25705-8859
US

V. Phone/Fax

Practice location:
  • Phone: 304-399-7182
  • Fax: 304-523-7738
Mailing address:
  • Phone: 304-399-7182
  • Fax: 304-523-7738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number68999
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3006910
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: