Individual provider · Type 1 NPI

Mary June Ibach, LPN

Licensed Practical Nurse · Charleston, WV

NPI number 1699514521 Active

Practice location

900 Virginia St. East Suite 500 Maxim Healthcare
Charleston, WV 25301

Call (681) 313-4759 Map

Mailing address

104 Process Rd.
Hedgeville, WV 25427

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	LP-14881 (MD)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Other licensed practical nurse providers in Charleston

See all in Charleston →

About NPI 1699514521

Mary June Ibach, LPN's National Provider Identifier is 1699514521, issued on May 21, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Charleston, WV. The record was last updated on May 21, 2024.