Provider Demographics
NPI:1205217833
Name:PLACER, ALISHA (APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:PLACER
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 S WELLS ST
Mailing Address - Street 2:
Mailing Address - City:SISTERSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26175-1098
Mailing Address - Country:US
Mailing Address - Phone:304-447-2038
Mailing Address - Fax:
Practice Address - Street 1:305 CLAY ST
Practice Address - Street 2:
Practice Address - City:SISTERSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26175-1059
Practice Address - Country:US
Practice Address - Phone:304-447-2038
Practice Address - Fax:304-447-3990
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV66948363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily