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Contact Information

AMARIS MEDICAL, LLC
76 LEWIS STREET
WHITESVILLE, WV25209
 Phone: 304-896-0268
 Fax: 304-896-0289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Addiction (Substance Use Disorder)

101YA0400X
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMARIS MEDICAL LLC · (Female)

NPI # 1013524057
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2020
Last updated 12/13/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • WV Other 499198 WV SECRETARY OF STATE
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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