NPI 1164148359 · live from the CMS NPI Registry
Baylee Bancroft
Physician Assistant, Medical in Mannington, WV. National Provider Identifier 1164148359, active.
NPI record
| NPI | 1164148359 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 800 E Main St, Mannington, WV 26582 |
| Practice phone | 681-285-1232 |
| Mailing address | 338 Richard Harrison Way, Morgantown, WV 26501 |
| Enumerated | October 18, 2022 |
| Last updated | December 17, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 2759 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.