Lola Barron, RN
Individual provider Active NPI Wound Care Registered Nurse · Charles Town, WV
NPI 1407366156 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1407366156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Wound Care Registered Nurse 163WW0000X
- License
- 57820 (WV)
- Practice address
- 110 Mordington Ave
Charles Town, WV 25414-1693 - Phone
- (304) 267-3595
- Fax
- (304) 267-3599
- NPI assigned
- Oct 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57820 | WV | MD | Wound Care Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson County Board of Education | Past | Accepting new patients | |
| Jefferson County Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 57820 | WV | Yes |
Addresses
Primary practice location
110 Mordington Ave
Charles Town, WV 25414-1693
Mailing address
110 Mordington Ave
Charles Town, WV 25414-1693
Phone (304) 267-3595
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57820 | Other | WV | WV BOARD OF EXAMINERS |
Other providers in Charles Town, WV
- Arvessa Skin Care Center LLC
- Catherine Alberta Bachtell
- Amanda Baltusnik
- Davina Barahona
- Amanda Barnhouse
- Michael David Baum
- Nicole Beckner
- Christina Benson
- Nicole Elizabeth Berryhill
- Beyond Limits Mobile Outpatient Therapy, LLC
All providers in Charles Town, WV · Wound Care Registered Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.