NPI 1215219902

Kellie Faye Gautier, FNPBC

Practitioner Family Nurse Practitioner Daniels, WV

Practice location

Address: 1468 Ritter Dr, Daniels, WV 25832-9356
Phone: (304) 253-3860
Mailing address: 330 Cedarcrest Dr, Shady Spring, WV 25918-8541

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 73240 (WV)

Other Nurse Practitioner providers in West Virginia →

Registry record

NPI: 1215219902
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2011
Record last updated: 17 Jul 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.