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NPI Code Detail

MEDICARE: BILLIE MARIE COLLEY RN

MEDICARE: BILLIE MARIE COLLEY RN
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
1163WC0400XCase Management Registered Nurse58841WV

General Provider Information

NPI Number : 1679182935
Entity Type Code : Individual
Provider Name (Legal Business Name) : BILLIE MARIE COLLEY RN
Provider Business Mailing Address
First Line : 430 EMORY CENTERPOINT RD
Second Line :
City : OAK HILL
State : OH
Zip : 45656-9068
Country : US
Telephone Number : 740-395-6185
Fax Number : 304-733-6429
Provider Business Practice Location Address
First Line : 4329 HUGHES BRANCH RD
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-9768
Country : US
Telephone Number : 304-733-6415
Fax Number : 304-733-6429
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2020
Last Update Date : 07/23/2020

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