NPI 1356374110 · live from the CMS NPI Registry
Mary J Bayne, 1002817 nccpa
Physician Assistant, Medical in Huntington, WV. National Provider Identifier 1356374110, active.
NPI record
| NPI | 1356374110 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | Vamc 1540 Spring Valley Dr, Huntington, WV 25704 |
| Practice phone | 800-827-8244 |
| Mailing address | 3931 Leighwood Dr, Ashland, KY 41102 |
| Enumerated | July 7, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 1002817 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.