Doctor Name: | MARENA HOPE PATE |
NPI Number: | 1104216357 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN |
License Number: | 52778 |
Business Practice Address: | 10 Marland Ave Hamlin, WV - 255231058 |
Business Phone Number: | 3048243033 |
Business Fax Number: | 3048247947 |
Mailing Address: | 10 Marland Ave, HAMLIN |
State: | WV |
Postal Code: | 255231058 |
Phone Number: | 3048243033 |
Fax Number: | 3048247947 |
NPI Enumeration Date: | 01/27/2015 |
NPI Last Update Date: | 01/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 52778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |