NPI 1558735209 · live from the CMS NPI Registry
Apple Valley Family Medicine And Urgent Care
Family Medicine in Martinsburg, WV. National Provider Identifier 1558735209, active.
NPI record
| NPI | 1558735209 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 202 Foxcroft Ave, Martinsburg, WV 25401 |
| Practice phone | 240-476-0791 |
| Mailing address | 202 Foxcroft Avenue, Martinsburg, WV 25401 |
| Enumerated | November 18, 2015 |
| Last updated | January 16, 2024 |
| Authorized official | Kolawale Oshiyoye, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Urgent Care | 261QU0200X | — |
| Family Medicine primary | 207Q00000X | 25370 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.