Doctor Name: | MS. COURTNEY LOUISE FERAL |
NPI Number: | 1497014658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3007409 |
Business Practice Address: | 239 Mountain Parkway Spur Campton, KY - 413018988 |
Business Phone Number: | 6066683120 |
Business Fax Number: | 6066683125 |
Mailing Address: | Po Box 390, HUNTINGTON |
State: | WV |
Postal Code: | 257080390 |
Phone Number: | 3044291088 |
Fax Number: | 3044293109 |
NPI Enumeration Date: | 05/09/2012 |
NPI Last Update Date: | 10/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3007409 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |