MEDICARE: MS. BARBARA J KOSTER MSN,C-ANP

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
1	363L00000X	Nurse Practitioner	024315	WV

General Provider Information

NPI Number	:	1518938679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA J KOSTER MSN,C-ANP

Provider Business Mailing Address
First Line	:	415 MORRIS STREETE
Second Line	:	SUITE 304
City	:	CHARLESTON
State	:	WV
Zip	:	25301
Country	:	US
Telephone Number	:	304-388-7782
Fax Number	:	304-388-7788

Provider Business Practice Location Address
First Line	:	314 GOFF MOUNTAIN RD
Second Line	:	SUITE 3
City	:	CROSS LANES
State	:	WV
Zip	:	25313-6602
Country	:	US
Telephone Number	:	304-388-7070
Fax Number	:	304-388-7075

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	03/08/2011

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