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NPI Code Detail

MEDICARE: MRS. AMY ELIZABETH KITZMILLER WHNP

MEDICARE: MRS. AMY ELIZABETH KITZMILLER WHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse PractitionerSP004562VPA
2363LW0102XWomen's Health Nurse PractitionerAPRN46057WV

General Provider Information

NPI Number : 1518061977
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY ELIZABETH KITZMILLER WHNP
Provider Business Mailing Address
First Line : 2000 MON HEALTH MEDICAL PARK DR STE 2100
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-1168
Country : US
Telephone Number : 304-599-6811
Fax Number : 304-599-7159
Provider Business Practice Location Address
First Line : 2000 MON HEALTH MEDICAL PARK DR STE 2100
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-1168
Country : US
Telephone Number : 304-599-6811
Fax Number : 304-599-7159
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 06/30/2021

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