Provider Demographics
NPI:1518938679
Name:KOSTER, BARBARA J (MSN,C-ANP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:KOSTER
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Gender:F
Credentials:MSN,C-ANP
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Mailing Address - Street 1:415 MORRIS STREETE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301
Mailing Address - Country:US
Mailing Address - Phone:304-388-7782
Mailing Address - Fax:304-388-7788
Practice Address - Street 1:314 GOFF MOUNTAIN RD
Practice Address - Street 2:SUITE 3
Practice Address - City:CROSS LANES
Practice Address - State:WV
Practice Address - Zip Code:25313-6602
Practice Address - Country:US
Practice Address - Phone:304-388-7070
Practice Address - Fax:304-388-7075
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2011-03-08
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Provider Licenses
StateLicense IDTaxonomies
WV024315363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KONP00173Medicare PIN