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Contact Information

MARYELLEN V WETMORE, RN
3259 CATLIN AVE
QUANTICO, VA22134-5109
 Phone: 703-784-1772
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

163WC0400X
 

Administrator

163WA2000X
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for MARYELLEN V WETMORE · (Female)

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
  • NY License # 431243
  • VA License # 0001253807
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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