Metheny, Tracie M

Metheny, Tracie M is an individual health care provider with primary practice located at 1400 Hospital Dr , Hurricane WV 25526-9202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Metheny, Tracie M can be contacted via phone (304) 757-1700.

Contact Information

Primary practice address
1400 Hospital Dr Hurricane WV 25526-9202
Phone: (304) 757-1700
Fax: (304) 757-1732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 63819 West Virginia

Profile Details

NPI number 1922280411
LBN Legal business name Metheny, Tracie M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
Last updated Apr 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922280411 NPPES
West Virginia Other P00461235 RR MEDICARE
West Virginia Other 002003247 RR MEDICARE
West Virginia Other 27005299703 RR MEDICARE
West Virginia MEDICAID 3810011018 RR MEDICARE
West Virginia Other 001706470 RR MEDICARE
West Virginia MEDICAID 0207026000 RR MEDICARE
West Virginia Other DA0096 RR MEDICARE
West Virginia Other 1072527 RR MEDICARE
West Virginia Other 27005299700 RR MEDICARE

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