Lahoma L Wilson, APRN-CNP | |
3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | |
(304) 388-5848 | |
(304) 388-9654 |
Full Name | Lahoma L Wilson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3200 Maccorkle Ave Se, Charleston, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295101269 | NPI | - | NPPES |
3810029689 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN77491-NP (West Virginia) | Primary |
Entity Name | Charleston Area Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Entity Name | Pursuecare, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962068296 PECOS PAC ID: 4587998927 Enrollment ID: O20190725001262 |
Mailing Address | Practice Location Address |
---|---|
Lahoma L Wilson, APRN-CNP 97 Great Teays Blvd, Ste 6, Scott Depot, WV 25560-9815 Ph: (304) 757-6999 | Lahoma L Wilson, APRN-CNP 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 Ph: (304) 388-5848 |
Stephanie Lynn Legg, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2345 Chesterfield Ave Ste 302, Charleston, WV 25304 Phone: 681-205-8610 Fax: 681-205-8615 | |
Ms. Brenda Lou Keefer, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-925-3436 | |
Brenda Moody Walker, RN,MSN,CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4407 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-925-0392 Fax: 304-825-0392 | |
Janice K Kaufman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Maccorkle Ave, Suite 709, Charleston, WV 25304 Phone: 304-342-1184 Fax: 304-343-8487 | |
Mrs. Cari Stover, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4307 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-205-6123 | |
Mrs. Carolyn Sue Green, APRN FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 Washington St W, Charleston, WV 25302 Phone: 304-344-9834 Fax: 304-344-1756 | |
Shawnna D. Walker, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Outpatient Care Center (rwp), Charleston, WV 25304 Phone: 304-388-9677 Fax: 304-388-8238 |