Takara Leeann Muncy, | |
174 Lmah Center Rd, Logan, WV 25601-4058 | |
(304) 792-7130 | |
(304) 792-7146 |
Full Name | Takara Leeann Muncy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 174 Lmah Center Rd, Logan, 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 |
---|---|---|---|
1114671906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 112055 (West Virginia) | Primary |
Entity Name | Apogee Medical Group West Virginia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669708442 PECOS PAC ID: 0941343255 Enrollment ID: O20100209000644 |
Mailing Address | Practice Location Address |
---|---|
Takara Leeann Muncy, 174 Lmah Center Rd, Logan, WV 25601-4058 Ph: (304) 792-7130 | Takara Leeann Muncy, 174 Lmah Center Rd, Logan, WV 25601-4058 Ph: (304) 792-7130 |
Timothy M Reed, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1188 | |
Mrs. Amber Ellis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 Stollings Ave, Suite 3, Logan, WV 25601 Phone: 304-752-4594 | |
Jenna Marie Hager, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 77 Hospital Dr, Logan, WV 25601 Phone: 304-896-5200 Fax: 304-896-5300 | |
William Ray Watkins Jr., RN, MSN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 Hanging Rock Hwy, Logan, WV 25601 Phone: 304-784-5404 | |
Mr. Printess John Lawrence, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Prosperity Lane, Suite 100, Logan, WV 25601 Phone: 304-831-0073 Fax: 304-831-0471 | |
Patsy Eugenie Stoots, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1101 |