Sizemore, Mary Ellen

Sizemore, Mary Ellen is an individual health care provider with primary practice located at 3501 Maccorkle Ave Se Se#151, Charleston WV 25304-1419. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sizemore, Mary Ellen can be contacted via phone (304) 964-6370.

Contact Information

Primary practice address
3501 Maccorkle Ave Se Se#151 Charleston WV 25304-1419
Phone: (304) 964-6370
Fax: (855) 632-8329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 52805 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 52805 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN52805-FNP-BC West Virginia

Profile Details

NPI number 1790979300
LBN Legal business name Sizemore, Mary Ellen
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Dec 8th, 2015 - about 9 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 1790979300 NPPES
West Virginia MEDICAID 3810010313

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