Most Relevant Information
Provider Data
| NPI Number: | 1003320615 |
| Provider Name: | STEPHANIE NICOLE PRICE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 2120 |
Most Important Dates
| Enumeration Date: | 11/20/2017 |
| Last Updated: | 10/25/2021 |
Provider Practice Location
2900 1ST AVE RM 1025
HUNTINGTON
WV
257021241
Practice Location Phone/Fax
| Phone: | 3043997484 |
| Fax: | 3043997579 |
Provider Mailing Location
5170 US ROUTE 60
HUNTINGTON
WV
257052004
Provider Mailing Phone/Fax
| Phone: | 3045284600 |
| Fax: | 3043990015 |