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Mary Katherine Eller, APRN

Nurse Practitioner, Family in Charleston, WV. Individual provider (NPI-1).

NPI number1346672011
StatusActive
Last updated in NPPESAug 5, 2013

Details

NPI
1346672011
Entity type
Individual (NPI-1)
Name
Mrs. Mary Katherine Eller
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Aug 5, 2013
Last updated
Aug 5, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family52349WVYes

Practice location

6 Courtney Dr
Charleston, WV 25304-2696

Phone 304-720-9073 · Fax 304-720-1921

Mailing address

3712 Virginia Ave Se
Charleston, WV 25304-1506

Phone 304-617-1490

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