Pauley, Mary Ellen
Pauley, Mary Ellen is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se Camc Vascular Center Memorial Hospital, Charleston WV 25304-1227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pauley, Mary Ellen can be contacted via phone (304) 388-8100.Contact Information
Primary practice address
3200 Maccorkle Ave Se Camc Vascular Center Memorial Hospital
Charleston WV 25304-1227
Phone: (304) 388-8100
Fax: (304) 388-8195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 34219 | West Virginia |
Profile Details
| NPI number | 1841257227 |
|---|---|
| LBN Legal business name | Pauley, Mary Ellen |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841257227 | NPPES |
| West Virginia | MEDICAID | 0167112000 |
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