Provider Demographics
NPI:1881345502
Name:FLYNN, ENGLEISH ANNETTE (FNP-C FNP-BC)
Entity type:Individual
Prefix:
First Name:ENGLEISH
Middle Name:ANNETTE
Last Name:FLYNN
Suffix:
Gender:F
Credentials:FNP-C FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 JOYCE ST
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-9615
Mailing Address - Country:US
Mailing Address - Phone:304-719-3481
Mailing Address - Fax:
Practice Address - Street 1:400 STANAFORD RD
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3144
Practice Address - Country:US
Practice Address - Phone:304-461-3320
Practice Address - Fax:304-253-8263
Is Sole Proprietor?:No
Enumeration Date:2022-01-13
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV111665363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily