Walker, Brenda Moody

Walker, Brenda Moody is an individual health care provider with primary practice located at 4407 Maccorkle Ave Se , Charleston WV 25304-2541. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Walker, Brenda Moody can be contacted via phone (304) 925-0392.

Contact Information

Primary practice address
4407 Maccorkle Ave Se Charleston WV 25304-2541
Phone: (304) 925-0392
Fax: (304) 825-0392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 18804 West Virginia

Profile Details

NPI number 1013971761
LBN Legal business name Walker, Brenda Moody
Credentials RN,MSN,CFNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Nov 12th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013971761 NPPES
West Virginia MEDICAID 0167011000

Popular Providers