Most Relevant Information
Provider Data
| NPI Number: | 1003639865 |
| Provider Name: | ROBERT ZICKAFOOSE FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 121153 |
Most Important Dates
| Enumeration Date: | 10/31/2024 |
| Last Updated: | 10/31/2024 |
Provider Practice Location
701 MADISON AVE
MADISON
WV
251301669
Practice Location Phone/Fax
| Phone: | 3043691230 |
| Fax: |
Provider Mailing Location
2172 UPPER CRAWLEY CREEK RD
CHAPMANVILLE
WV
255087178
Provider Mailing Phone/Fax
| Phone: | 3049533974 |
| Fax: |