Healthcare Provider Details

I. General information

NPI: 1346246766
Provider Name (Legal Business Name): JANEL CHRISTINE TROVATO-VASS RN, MSN, FNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 04/21/2022
Certification Date: 04/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 SUNCREST TOWN CENTRE DR
MORGANTOWN WV
26505
US

IV. Provider business mailing address

1 MEDICAL CENTER DR
MORGANTOWN WV
26506-1200
US

V. Phone/Fax

Practice location:
  • Phone: 304-598-4478
  • Fax:
Mailing address:
  • Phone: 877-988-4478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number46155
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: