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Mary Ann Smith

Licensed Vocational Nurse in Parkersburg, WV. Individual provider (NPI-1).

NPI number1811610074
StatusActive
Last updated in NPPESSep 22, 2022

Details

NPI
1811610074
Entity type
Individual (NPI-1)
Name
Mary Ann Smith
Sex
Female
Sole proprietor
No
Enumeration date
Sep 22, 2022
Certification date
Sep 22, 2022
Last updated
Sep 22, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational Nurse13788WVYes

Practice location

417 Grand Park Dr Ste 203
Parkersburg, WV 26105-4049

Phone 681-391-8137

Mailing address

417 Grand Park Dr Ste 203
Parkersburg, WV 26105-4049

Phone 304-422-9293

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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