Most Relevant Information
Provider Data
| NPI Number: | 1003572488 |
| Provider Name: | MICAH PRITT APRN-CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 111132 |
Most Important Dates
| Enumeration Date: | 11/10/2021 |
| Last Updated: | 11/10/2021 |
Provider Practice Location
810 GRAYSON AVE
COVINGTON
VA
244266353
Practice Location Phone/Fax
| Phone: | 5409628222 |
| Fax: |
Provider Mailing Location
1322 MAPLEWOOD AVE
RONCEVERTE
WV
249708016
Provider Mailing Phone/Fax
| Phone: | 3046471139 |
| Fax: |