DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IMAGINE MEDISPA

Active Organization

Family Nurse Practitioner · BECKLEY, WV

Registration Details

NPI Number
1407283245
Provider Type
Organization
NPI Issued
Oct 10, 2013 (12.540063779115 yrs)
Last Updated
Oct 10, 2013
License
APRN77359-FNP-BC (WV)

Practice Information

Address
321 DRY HILL RD
BECKLEY, WV, 258012601
Browse WV providers · Browse ZIP 25801
Phone
3042524154
Primary Specialty
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.