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NPI Code Detail

MEDICARE: NATHANAEL RIHARD CHANEY

MEDICARE: NATHANAEL RIHARD CHANEY
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
1163W00000XRegistered Nurse1159628KY

General Provider Information

NPI Number : 1467175968
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHANAEL RIHARD CHANEY
Provider Business Mailing Address
First Line : 400 TRACY WAY STE 100
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-1280
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 TRACY WAY STE 100
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-1280
Country : US
Telephone Number : 304-733-5010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2022
Last Update Date : 09/21/2022

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Directions to “ NATHANAEL RIHARD CHANEY ” Practice Location

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