NPI 1013600402

Amy Axley

Practitioner Peer Specialist Elizabeth, WV

Practice location

Address: 255 Tower Rd, Elizabeth, WV 26143-7177
Phone: (304) 966-8913

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 23-931 (WV)

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Registry record

NPI: 1013600402
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2023
Record last updated: 31 May 2023

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.