Traci Lynn Booth, FNP-BC | |
184 E 2nd Ave Ste 1, Williamson, WV 25661-3602 | |
(304) 235-2930 | |
(304) 235-2933 |
Full Name | Traci Lynn Booth |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 184 E 2nd Ave Ste 1, Williamson, 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 |
---|---|---|---|
1427323641 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 47228 (West Virginia) | Primary |
Entity Name | Logan General Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720032105 PECOS PAC ID: 9537078977 Enrollment ID: O20031217001124 |
Mailing Address | Practice Location Address |
---|---|
Traci Lynn Booth, FNP-BC 184 E 2nd Ave Ste 1, Williamson, WV 25661-3602 Ph: (304) 235-2930 | Traci Lynn Booth, FNP-BC 184 E 2nd Ave Ste 1, Williamson, WV 25661-3602 Ph: (304) 235-2930 |
Tina Lee Brown-cohenour, MSN RN, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 184 E 2nd Ave Ste 210, Williamson, WV 25661 Phone: 304-236-5902 Fax: 855-487-4047 | |
Mrs. Tiara Lyn Ferrell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 E 2nd Ave, Williamson, WV 25661 Phone: 304-784-7165 | |
Jennifer Kay Mcpeek, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Logan St, Williamson, WV 25661 Phone: 304-236-5902 | |
Mrs. Aimee Michelle Colegrove, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 872 Route 65, Williamson, WV 25661 Phone: 304-475-3700 Fax: 304-475-3780 | |
Deborah Gail Epling, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 184 E 2nd Ave Ste 210, Williamson, WV 25661 Phone: 304-236-5902 | |
Traci Thornsbury, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Logan St Ste A, Williamson, WV 25661 Phone: 304-236-5902 |