BETTY WADDELL NPI 1235779802

NPI Information

NPI: 1235779802
Provider Name: BETTY WADDELL
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ST. MARY'S MEDICAL MANAGEMENT, LLC

PECOS Registration: Yes

Address:
2900 1ST AVE STE 10
HUNTINGTON, WV
ZIP 25702
Phone: (304) 525-6825
Get Directions

Betty Waddell is a family nurse practitioner in Huntington, WV with 5 years of experience. Betty Waddell NPI is 1235779802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduation Year:2019

The provider's business location address is:

2900 1ST AVE STE 10
HUNTINGTON, WV
ZIP 25702-241
Phone: (304) 525-6825

The NPI 1235779802 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/13/2020 and was last updated on 4/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	104157	WEST VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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