Individual
MARY NEMETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
386 AIRPORT ROAD, CHAMPMANVILLE, WV 25508
(304) 855-1200
(304) 855-1230
Mailing address
PO BOX 4013, CHAPMANVILLE, WV 25508
(304) 855-1200
(304) 855-1230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23320
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010776
—
WV
Enumeration date
08/13/2007
Last updated
11/10/2014
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