Provider Demographics
NPI:1346246766
Name:TROVATO-VASS, JANEL CHRISTINE (RN, MSN, FNPC)
Entity Type:Individual
Prefix:MRS
First Name:JANEL
Middle Name:CHRISTINE
Last Name:TROVATO-VASS
Suffix:
Gender:F
Credentials:RN, MSN, FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-1200
Mailing Address - Country:US
Mailing Address - Phone:877-988-4478
Mailing Address - Fax:
Practice Address - Street 1:600 SUNCREST TOWN CENTRE DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505
Practice Address - Country:US
Practice Address - Phone:304-598-4478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV46155363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2375782Medicaid
WV500026791OtherRAILROAD MEDICARE
WV46155OtherHEALTH PLAN UOV
WV7105153-000Medicaid
WVTRNP11141Medicare ID - Type Unspecified
WV500026791OtherRAILROAD MEDICARE