Healthcare Provider Details

I. General information

NPI: 1770540528
Provider Name (Legal Business Name): KATHY G ESKER C-FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 12/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2012 GARFIELD AVE 2
PARKERSBURG WV
26101-2527
US

IV. Provider business mailing address

600 18TH ST SUITE 404
PARKERSBURG WV
26101-3231
US

V. Phone/Fax

Practice location:
  • Phone: 304-893-9090
  • Fax: 304-893-9113
Mailing address:
  • Phone: 304-424-4650
  • Fax: 304-424-4681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number40878
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: