MEDICARE: KATHY G ESKER C-FNP

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	363LF0000X	Family Nurse Practitioner	40878	WV

General Provider Information

NPI Number	:	1770540528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHY G ESKER C-FNP

Provider Business Mailing Address
First Line	:	600 18TH ST
Second Line	:	SUITE 404
City	:	PARKERSBURG
State	:	WV
Zip	:	26101-3231
Country	:	US
Telephone Number	:	304-424-4650
Fax Number	:	304-424-4681

Provider Business Practice Location Address
First Line	:	2012 GARFIELD AVE 2
Second Line	:
City	:	PARKERSBURG
State	:	WV
Zip	:	26101-2527
Country	:	US
Telephone Number	:	304-893-9090
Fax Number	:	304-893-9113

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

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	12/30/2015

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