NPI Profile for MARYELLEN V WETMORE in QUANTICO, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Case Management |
163WC0400X | |||
Administrator |
163WA2000X | |||
Medical-Surgical |
163WM0705X |
| NPI # | 1548089220 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 10/09/2024 | |
| Last updated | 10/09/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARYELLEN V WETMORE
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