Witcher, Marybeth
Witcher, Marybeth is an individual health care provider with primary practice located at 1001 Sturdy Rd , Valparaiso IN 46383-4126. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Witcher, Marybeth can be contacted via phone (219) 462-7173.Contact Information
Primary practice address
1001 Sturdy Rd
Valparaiso IN 46383-4126
Phone: (219) 462-7173
Fax: (219) 462-7504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000341A | Indiana |
Profile Details
| NPI number | 1629120878 |
|---|---|
| LBN Legal business name | Witcher, Marybeth |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jun 20th, 2016 - about 8 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 | 1629120878 | NPPES |
| Indiana | MEDICAID | 200321550A |
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