Provider Demographics
NPI:1992873251
Name:NARSAVAGE, GEORGIA L (PHD, APRN, FAAN)
Entity type:Individual
Prefix:PROF
First Name:GEORGIA
Middle Name:L
Last Name:NARSAVAGE
Suffix:
Gender:F
Credentials:PHD, APRN, FAAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 KENMORE ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505
Mailing Address - Country:US
Mailing Address - Phone:304-276-0268
Mailing Address - Fax:304-293-6826
Practice Address - Street 1:HEALTH SCIENCE CENTER SOUTH 6700
Practice Address - Street 2:WVU SON NURSING FACULTY PRACTICE
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-9600
Practice Address - Country:US
Practice Address - Phone:304-293-6521
Practice Address - Fax:304-293-6826
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA175353363LA2200X
OHNP07075363LA2200X
WVRN 70322363LA2200X
OHNS05612364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health