Provider Demographics
NPI:1740704972
Name:RANHART, JOANNA CAROL (FNP)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:CAROL
Last Name:RANHART
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:CAROL
Other - Last Name:MOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 OAKMOUND RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26301-9398
Mailing Address - Country:US
Mailing Address - Phone:304-623-6330
Mailing Address - Fax:304-623-6220
Practice Address - Street 1:700 OAKMOUND RD
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:WV
Practice Address - Zip Code:26301-9398
Practice Address - Country:US
Practice Address - Phone:304-623-6330
Practice Address - Fax:304-623-6220
Is Sole Proprietor?:No
Enumeration Date:2017-07-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV81033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily