| Mrs Courtni Lee Dewitt, NP | |
|
150 Memorial Dr, Kingwood, WV 26537-1141 | |
| (304) 288-4376 | |
| Not Available |
| Full Name | Mrs Courtni Lee Dewitt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 150 Memorial Dr, Kingwood, 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 |
|---|---|---|---|
| 1336838390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 104391 (West Virginia) | Primary |
| 163W00000X | Registered Nurse | 104391 (West Virginia) | Secondary |
| Entity Name | Preston Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230661 PECOS PAC ID: 5294645107 Enrollment ID: O20040609000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Courtni Lee Dewitt, NP 739 Sypolt Run, Albright, WV 26519-7266 Ph: (304) 288-4376 | Mrs Courtni Lee Dewitt, NP 150 Memorial Dr, Kingwood, WV 26537-1141 Ph: (304) 288-4376 |
Brooklyn Jo Ayersman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 Morgantown St, Kingwood, WV 26537 Phone: 304-329-0555 | |
Tracy Underwood, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1343 N Preston Hwy, Kingwood, WV 26537 Phone: 304-441-2001 | |
Courtney Layton, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 428 Morgantown St, Kingwood, WV 26537 Phone: 304-329-0256 Fax: 304-329-0733 | |
Mrs. Debra D Miller-fike, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 N Price St, Kingwood, WV 26537 Phone: 304-329-3500 Fax: 304-329-2088 | |
Heather Lynn Reckart, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 N Price St, Kingwood, WV 26537 Phone: 304-329-3500 Fax: 304-329-2088 | |
Crystal A Nestor, WHNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Memorial Dr, Kingwood, WV 26537 Phone: 304-329-4701 |