NPI 1003639865

Robert Zickafoose, FNPC

Practitioner Nurse Practitioner Madison, WV

Practice location

Address: 701 Madison Ave, Madison, WV 25130-1669
Phone: (304) 369-1230
Mailing address: 2172 Upper Crawley Creek Rd, Chapmanville, WV 25508-7178

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 121153 (WV)

Other Nurse Practitioner providers in West Virginia →

Registry record

NPI: 1003639865
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2024
Record last updated: 31 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.