Mary Ellen Bliss
Individual provider Active NPI Registered Nurse · Wheeling, WV
NPI 1992987390 · NPPES record last updated Nov 28, 2007
Key facts
- NPI
- 1992987390
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 41494 (WV)
- Practice address
- 2203 National Rd
Wheeling, WV 26003-5203 - Phone
- (304) 243-0300
- Fax
- (304) 243-0328
- NPI assigned
- Nov 28, 2007
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41494 | WV | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio County Board of Education | Past | Accepting new patients | |
| Ohio County Board of Education | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 41494 | WV | Yes |
Addresses
Primary practice location
2203 National Rd
Wheeling, WV 26003-5203
Mailing address
2203 National Rd
Wheeling, WV 26003-5203
Phone (304) 243-0300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0161343000 | Medicaid | WV |
Other providers in Wheeling, WV
- Stacy Blake
- Trina Blakely
- Kathy Blatt
- Leiandra Maria Bledsoe
- Bethany Blewitt
- Lindsey Ann Blobner
- Daisy Bloomfield
- Laura R Blosser
- Benjamin D Blowers
- David A Blowers
All providers in Wheeling, WV · 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 Nov 28, 2007. 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.