Tina Renee Withrow, LPN is a
Licensed Practical Nurse based in Poca, West Virginia. Tina Renee Withrow is licensed to practice in West Virginia (license number 37594) and her current practice location is
233 Midway Road, Poca, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 395-6423.
NPI number for Tina Renee Withrow is 1245016674 and her current mailing address is Po Box 535, Poca, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245016674.
Provider's Profile
| Full Name | Tina Renee Withrow |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 233 Midway Road, Poca, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245016674
- Provider Enumeration Date: 09/01/2023
- Last Update Date: 09/01/2023
Medical Identifiers
Medical identifiers for Tina Renee Withrow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245016674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 37594 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tina Renee Withrow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tina Renee Withrow, LPN
Po Box 535,
Poca, WV 25159-0535
Ph: (304) 395-6423 | Tina Renee Withrow, LPN
233 Midway Road,
Poca, WV 25159
Ph: (304) 395-6423 |
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