Healthcare Provider Details

I. General information

NPI: 1205971744
Provider Name (Legal Business Name): MARY HUNTER ADAMS FNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 HOSPITAL DR
HURRICANE WV
25526-8712
US

IV. Provider business mailing address

PO BOX 1680
HUNTINGTON WV
25717-1680
US

V. Phone/Fax

Practice location:
  • Phone: 304-757-8683
  • Fax: 304-757-8684
Mailing address:
  • Phone: 304-697-1396
  • Fax: 304-697-2086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number58186
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: