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NPI Code Detail

MEDICARE: ALICIA IRENE VANMETER RN, FNP-BC

MEDICARE:   ALICIA IRENE VANMETER  RN, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner65986WV

General Provider Information

NPI Number : 1487044749
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA IRENE VANMETER RN, FNP-BC
Provider Business Mailing Address
First Line : 376 VANMETER RIDGE RD
Second Line :
City : SCHERR
State : WV
Zip : 26726-4503
Country : US
Telephone Number : 304-749-7719
Fax Number :
Provider Business Practice Location Address
First Line : 112 KUYKENDALL LN
Second Line :
City : MOOREFIELD
State : WV
Zip : 26836-1167
Country : US
Telephone Number : 304-530-7755
Fax Number : 304-530-7756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2015
Last Update Date : 01/26/2015

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Directions to “ ALICIA IRENE VANMETER RN, FNP-BC” Practice Location

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