| Caitlyn Marie Stafford, FNP-C | |
|
5722 Cabin Creek Rd, Dawes, WV 25054-7700 | |
| (304) 595-5006 | |
| (304) 595-5007 |
| Full Name | Caitlyn Marie Stafford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5722 Cabin Creek Rd, Dawes, 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 |
|---|---|---|---|
| 1821883323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 122433 (West Virginia) | Primary |
| Entity Name | Cabin Creek Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366495525 PECOS PAC ID: 2466431101 Enrollment ID: O20130905000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlyn Marie Stafford, FNP-C 104 Alex Ln, Charleston, WV 25304-2952 Ph: (304) 734-2040 | Caitlyn Marie Stafford, FNP-C 5722 Cabin Creek Rd, Dawes, WV 25054-7700 Ph: (304) 595-5006 |
Kelli Jo Hupp, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5722 Cabin Creek Rd, Dawes, WV 25054 Phone: 304-595-5006 Fax: 304-595-5007 | |
Alexandra Ritchie, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5722 Cabin Creek Rd, Dawes, WV 25054 Phone: 304-595-5006 | |
Lily Eliza Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5722 Cabin Creek Rd, Dawes, WV 25054 Phone: 304-595-5006 | |
Brooke Mccoy, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5722 Cabin Creek Rd, Dawes, WV 25054 Phone: 304-595-5006 Fax: 304-595-5007 | |
Byron Menking Hoggatt, RN, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5722 Cabin Creek Road, Dawes, WV 25054 Phone: 304-595-5006 Fax: 304-595-5007 | |
Annalyse Perry, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5722 Cabin Creek Rd, Dawes, WV 25054 Phone: 304-595-5006 Fax: 304-595-5007 |