Milissa K Short
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
10003 Webster Road
Camden on Gauley
, West Virginia 26208-0069
Milissa K Short
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
10003 Webster Road
Camden on Gauley
, West Virginia 26208-0069
(304) 226-3274
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Milissa K Short
- 10003 Webster Road Camden On Gauley Medical Center Inc
- Camden On Gauley, WV
- Zip : 26208-0069
- Fax : (304) 226-3274
- Phone : (304) 226-5725
Second Address
- Milissa K Short
- 10003 Webster Road
- Camden On Gauley, WV
- Zip : 26208-0069
- Fax : (304) 226-3274
- Phone : (304) 226-5725
Reviews
FAQs
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Is Milissa K Short a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 43219 | WV |
| N | 363LP2300X | Nurse Practitioner - Primary Care | 43219 | WV |
National Provider Identifier
| NPI | 1003089905 |
|---|---|
| Provider Name | Milissa K Short |
| First Address | Camden On Gauley, WV 26208-0069 |
| Second Address | Camden On Gauley, WV 26208-0069 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2008 |
| Last Update Date | 13/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 43219 | LICENSE (01) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.