Individual provider · Type 1 NPI
Mariah Bacon
Family Nurse Practitioner · Shepherdstown, WV
NPI number
1083459853
Active
Practice location
301 N King St.
Shepherdstown, WV 25443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 0024190164 (VA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Shepherdstown
About NPI 1083459853
Mariah Bacon's National Provider Identifier is 1083459853, issued on Jun 25, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shepherdstown, WV. The record was last updated on Jun 25, 2024.