Marissa Ann Bartrum
Individual provider Active NPI Home Health Registered Nurse · Charleston, WV
NPI 1689433377 · NPPES record last updated Mar 15, 2024
Key facts
- NPI
- 1689433377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 113239 (WV)
- Practice address
- 900 Virginia St E Ste 400
Charleston, WV 25301-2835 - Phone
- (681) 313-4759
- Fax
- (844) 800-3954
- NPI assigned
- Mar 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113239 | WV | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 113239 | WV | Yes |
Addresses
Primary practice location
900 Virginia St E Ste 400
Charleston, WV 25301-2835
Mailing address
900 Virginia St E Ste 400
Charleston, WV 25301-2835
Phone (681) 313-4759
Other providers in Charleston, WV
- Linda Bartoli
- Marci Ann Barton
- Ariel Bartram
- Paige Bartram
- Sharon Alice Bartram
- James David Bartsch
- Shadi Adib Bashai
- Muhammad Hassaan Bashir
- Gary Bashlor
- Jody Basile
All providers in Charleston, WV · Home Health 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 Mar 15, 2024. 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.