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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

NPI Number 1013524057
LBN Legal business name AMARIS MEDICAL, LLC
Authorized official ANGEL STOVER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/24/2020
Last updated 12/13/2024 - More than a year ago
Identifiers
WV Other 499198 WV SECRETARY OF STATE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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