Healthcare Provider Details

I. General information

NPI: 1801786736
Provider Name (Legal Business Name): ANNALYSE PERRY APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3948 TEAYS VALLEY RD STE 2625
HURRICANE WV
25526-8728
US

IV. Provider business mailing address

3948 TEAYS VALLEY RD
HURRICANE WV
25526-8728
US

V. Phone/Fax

Practice location:
  • Phone: 304-760-1397
  • Fax:
Mailing address:
  • Phone: 304-760-1397
  • Fax: 304-760-7610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number108738
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: