Imagine Medispa
NPI #1407283245 in Beckley, West Virginia
Provider Information
- NPI Number
- 1407283245
- Entity Type
- Organization
- Organization Name
- Imagine Medispa
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 10, 2013
- Last Updated
- Oct 10, 2013
Practice Location
- Address
- 321 DRY HILL RD
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801-2601
- Phone
- (304) 252-4154
Authorized Official
- Name
- MRS. CHRISTINA LEA PHARES, FNP-BC
- Title
- NURSE PRACTITIONER
- Phone
- (304) 574-6144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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