Healthcare Provider Details

I. General information

NPI: 1699021063
Provider Name (Legal Business Name): MARGARET ELLEN WILLIAMS BAKER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS MARGARET ELLEN WILLIAMS

II. Dates (important events)

Enumeration Date: 08/03/2012
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 MAIN ST STE 104
WHEELING WV
26003-2737
US

IV. Provider business mailing address

1100 MAIN ST STE 104
WHEELING WV
26003-2737
US

V. Phone/Fax

Practice location:
  • Phone: 304-460-5123
  • Fax: 800-734-8498
Mailing address:
  • Phone: 304-460-5123
  • Fax: 800-734-8498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN47838
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF1211241
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: