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Organization

AMARIS MEDICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGEL L STOVER APRN (OWNER)
(681) 207-7007
Entity
Organization

Contact information

Practice address
76 LEWIS STREET, WHITESVILLE, WV 25209
(304) 896-0268
(304) 896-0289
Mailing address
PO BOX 130, WHITESVILLE, WV 25209-0130
(304) 896-0268
(304) 896-0289

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
363L00000X
Nurse Practitioner
Primary
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
499198
WV SECRETARY OF STATE
WV
Enumeration date
09/24/2020
Last updated
12/13/2024
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