Most Relevant Information
Provider Data
| NPI Number: | 1003414400 |
| Provider Name: | ERIC ALLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0222X |
| Specialty: | Nurse Practitioner |
| License Number: | 107520 |
Most Important Dates
| Enumeration Date: | 10/16/2020 |
| Last Updated: | 04/13/2022 |
Provider Practice Location
1 MEDICAL CENTER DR
MORGANTOWN
WV
265061200
Practice Location Phone/Fax
| Phone: | 8559882273 |
| Fax: |
Provider Mailing Location
1 MEDICAL CENTER DR
MORGANTOWN
WV
265061200
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |