Healthcare Provider Details

I. General information

NPI: 1316457476
Provider Name (Legal Business Name): CHARITY LYNN MAY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHARITY LYNN ROGERS

II. Dates (important events)

Enumeration Date: 10/03/2017
Last Update Date: 06/10/2020
Certification Date: 06/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL PARK SUITE 704
WHEELING WV
26003
US

IV. Provider business mailing address

1 MEDICAL PARK SUITE 704
WHEELING WV
26003
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-3134
  • Fax: 304-243-3834
Mailing address:
  • Phone: 304-243-3134
  • Fax: 304-243-3834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number84985
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN84985
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: