Individual provider · Type 1 NPI
Maryellen Vogt Wetmore, RN
Case Management Registered Nurse · Quantico, VA
NPI number
1548089220
Active
Practice location
3259 Catlin Ave
Quantico, VA 22134-5109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 431243 (NY) |
| Administrator Registered Nurse | 163WA2000X | 0001253807 (VA) |
| Medical-Surgical Registered Nurse | 163WM0705X | 431243 (NY) |
| Case Management Registered Nurse | 163WC0400X | 431243 (NY) |
| Medical-Surgical Registered Nurse | 163WM0705X | 0001253807 (VA) |
| Case Management Registered Nurse Primary | 163WC0400X | 0001253807 (VA) |
Case Management Registered Nurse: Definition to come...
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About NPI 1548089220
Maryellen Vogt Wetmore, RN's National Provider Identifier is 1548089220, issued on Oct 9, 2024. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Quantico, VA. The record was last updated on Oct 9, 2024.