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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013971761 | NPPES |
| West Virginia | MEDICAID | 0167011000 |
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