=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730145202
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIE A ARMISTEAD RNC WHNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/25/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 J D ANDERSON DR SUITE 402
-----------------------------------------------------
City | MORGANTOWN
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 26505-1238
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-599-6811
-----------------------------------------------------
Fax | 304-599-7159
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1000 J D ANDERSON DR SUITE 402
-----------------------------------------------------
City | MORGANTOWN
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 26505-1238
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-599-6811
-----------------------------------------------------
Fax | 304-599-7159
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 36450
-----------------------------------------------------
License Number State | WV
-----------------------------------------------------