Provider Demographics
NPI:1679929236
Name:HEALING TOUCH TOTAL FAMILY CARE
Entity Type:Organization
Organization Name:HEALING TOUCH TOTAL FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:R
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-C
Authorized Official - Phone:304-322-7784
Mailing Address - Street 1:5000 GREENBAG RD STE E08
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501-7123
Mailing Address - Country:US
Mailing Address - Phone:304-322-7780
Mailing Address - Fax:
Practice Address - Street 1:5000 GREENBAG RD STE E08
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26501-7123
Practice Address - Country:US
Practice Address - Phone:304-322-7780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-12
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV12753503OtherCAQH