| Candis M Toothman, APRN | |
|
597 Libert Street, Suite 15, West Milford, WV 26451 | |
| (304) 745-4568 | |
| (304) 326-3700 |
| Full Name | Candis M Toothman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 597 Libert Street, West Milford, 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 |
|---|---|---|---|
| 1417352287 | NPI | - | NPPES |
| CH6378 | Other | WV | RR MEDICARE |
| 02045680000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 73558 (West Virginia) | Primary |
| Entity Name | Monongahela Valley Association Of Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1770697278 PECOS PAC ID: 6800991977 Enrollment ID: O20080220000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Candis M Toothman, APRN 597 Liberty Street, West Milford, WV 26451 Ph: (304) 745-4568 | Candis M Toothman, APRN 597 Libert Street, Suite 15, West Milford, WV 26451 Ph: (304) 745-4568 |
Stephanie Marie Smith, RN, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 924 Liberty Street, West Milford, WV 26451 Phone: 304-745-4568 Fax: 304-326-3700 | |
Matya Drennen, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 597 Liberty St, West Milford, WV 26451 Phone: 304-745-4568 Fax: 304-326-3700 |