Tina Louise Prince, APRN, NP-C
Nurse Practitioner, Family in Charleston, WV. Individual provider (NPI-1).
NPI number1164088647
StatusActive
Last updated in NPPESMay 22, 2022
Details
- NPI
- 1164088647
- Entity type
- Individual (NPI-1)
- Name
- Tina Louise Prince
- Credential
- APRN, NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2019
- Certification date
- May 22, 2022
- Last updated
- May 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN61702NP | WV | Yes |
Practice location
800 Pennsylvania AveCharleston, WV 25302-3351
Phone 304-388-5432
Mailing address
Po Box 691Uneeda, WV 25205-0691
Phone 304-928-1886
Other practice locations
20 Hospital Dr
Logan, WV 25601-3452
Logan, WV 25601-3452
Phone 304-831-1101 · Fax 304-831-1651
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