Provider Demographics
NPI:1821519398
Name:NAMAY, ERIKA B (PA-C)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:B
Last Name:NAMAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4610 KANAWHA AVE SW STE 402
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-1367
Mailing Address - Country:US
Mailing Address - Phone:304-400-4700
Mailing Address - Fax:304-400-4635
Practice Address - Street 1:4610 KANAWHA AVE SW STE 402
Practice Address - Street 2:
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309
Practice Address - Country:US
Practice Address - Phone:304-400-4700
Practice Address - Fax:304-400-4635
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2082363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical