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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIAH BACON

Active

MARIAH BACON is a Family Nurse Practitioner healthcare provider located in SHEPHERDSTOWN, West Virginia. NPI 1083459853 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SHEPHERDSTOWN, WV

Registration Details

NPI Number
1083459853
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2024 (2.0964597027536 yrs)
Last Updated
Jun 25, 2024
License
0024190164 (VA)

Practice Information

Address
301 N KING ST.
SHEPHERDSTOWN, WV, 25443
Browse WV providers · Browse ZIP 25443
Phone
3048765000
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in SHEPHERDSTOWN, WV

Name Credential NPI
CAROLINE CLAGETT MCLEOD DNP 1972074565
LESLIE DANIELLE BAUGHER STINE CRNP - FAMILY 1245062694
JILLIAN T EMMERICH 1134087919
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.