Healthcare Provider Details

I. General information

NPI: 1992223382
Provider Name (Legal Business Name): ERICA KUHNLEIN MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2017
Last Update Date: 09/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

186 FAIRCHANCE RD
MORGANTOWN WV
26508-4435
US

IV. Provider business mailing address

213 SEPTEMBER DR
MORGANTOWN WV
26508-4246
US

V. Phone/Fax

Practice location:
  • Phone: 304-777-2352
  • Fax:
Mailing address:
  • Phone: 269-277-2059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN96217NP
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: