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NPI Code Detail

MEDICARE: VANESSA LINAE MATHIEU APRN

MEDICARE: VANESSA LINAE MATHIEU APRN
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
1363L00000XNurse PractitionerAPRN74460WV
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN74460WV
3363LF0000XFamily Nurse Practitioner3006739KY
4363LF0000XFamily Nurse PractitionerAPRN74460WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346547023
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA LINAE MATHIEU APRN
Provider Business Mailing Address
First Line : 1415 6TH AVE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-2420
Country : US
Telephone Number : 304-523-1142
Fax Number :
Provider Business Practice Location Address
First Line : 1415 6TH AVE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-2420
Country : US
Telephone Number : 304-523-1142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2011
Last Update Date : 03/16/2026

Similar Medicare Providers

1518274760 — JANIS L RULE ARNP
Practice Location Address:
1415 6TH AVE
HUNTINGTON, WV
25701-2420
Practice Phone: 304-523-1142
Practice Fax:
1558430637 — HUNTINGTON MENTAL HEALTH ASSOCIATES, INC.
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1415 6TH AVE
HUNTINGTON, WV
25701-2420
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Practice Fax: 304-523-2966
1528823739 — SARAH CUNNINGHAM LGSW
Practice Location Address:
1415 6TH AVE
HUNTINGTON, WV
25701-2420
Practice Phone: 304-523-1142
Practice Fax:
1063124261 — HUNTINGTON MENTAL HEALTH ASSOCIATES, INC.
Practice Location Address:
1415 6TH AVE
HUNTINGTON, WV
25701-2420
Practice Phone: 304-523-1142
Practice Fax:
1699268896 — KELLY MICHELLE-REFFITT CARTE NP-C
Practice Location Address:
1415 6TH AVE
HUNTINGTON, WV
25701-2420
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Practice Fax:
1902157688 — MICHAEL STARR LICSW
Practice Location Address:
1415 6TH AVE
HUNTINGTON, WV
25701-2420
Practice Phone: 304-523-1142
Practice Fax: 304-523-2966

Directions to “ VANESSA LINAE MATHIEU APRN” Practice Location

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