OrganizationActive
Agnes a Enrico-Simon, PLLC
NPI 1386846707 · Family Medicine Physician · PT Pleasant, WV
Provider details
- NPI number
- 1386846707
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Agnes Enrico-Simon, Physician(304) 675-6817
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2415 Jackson Ave
PT Pleasant, WV 25550-2042
Phone: (304) 675-6090
Fax: (304) 675-5893
Approximate (ZIP-level) locationGet directions
Mailing address
2415 Jackson Ave
PT Pleasant, WV 25550-2042
Registry dates
- Enumerated
- 2007-06-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.