Mrs Stephanie Robin Wismer, FNP-BC | |
71 Avenue A, Richwood, WV 26261-1204 | |
(304) 846-2608 | |
Not Available |
Full Name | Mrs Stephanie Robin Wismer |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 71 Avenue A, Richwood, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174389340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 118356 (West Virginia) | Primary |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1558340414 PECOS PAC ID: 6002867850 Enrollment ID: O20050209000321 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part A Provider - Federally Qualified Health Center (fqhc) |
Entity Identifiers | NPI Number: 1598749244 PECOS PAC ID: 6002867850 Enrollment ID: O20101104001548 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861872541 PECOS PAC ID: 6002867850 Enrollment ID: O20160125000001 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174065916 PECOS PAC ID: 6002867850 Enrollment ID: O20170613000749 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427585157 PECOS PAC ID: 6002867850 Enrollment ID: O20171010003869 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811420250 PECOS PAC ID: 6002867850 Enrollment ID: O20180123000206 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700312618 PECOS PAC ID: 6002867850 Enrollment ID: O20180413002227 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508372228 PECOS PAC ID: 6002867850 Enrollment ID: O20190208001062 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669947222 PECOS PAC ID: 6002867850 Enrollment ID: O20200423002284 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215394648 PECOS PAC ID: 6002867850 Enrollment ID: O20200429000282 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801493499 PECOS PAC ID: 6002867850 Enrollment ID: O20230629001639 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639418361 PECOS PAC ID: 6002867850 Enrollment ID: O20240416001782 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245938513 PECOS PAC ID: 6002867850 Enrollment ID: O20240621000150 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stephanie Robin Wismer, FNP-BC 3102 Leivasy Rd, Nettie, WV 26681-4158 Ph: (304) 880-8836 | Mrs Stephanie Robin Wismer, FNP-BC 71 Avenue A, Richwood, WV 26261-1204 Ph: (304) 846-2608 |
Rebecca L Lamp, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Avenue B, Richwood, WV 26261 Phone: 304-846-2573 Fax: 304-846-9562 |