Provider Demographics
NPI:1487044749
Name:VANMETER, ALICIA IRENE (RN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:IRENE
Last Name:VANMETER
Suffix:
Gender:F
Credentials:RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 VANMETER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SCHERR
Mailing Address - State:WV
Mailing Address - Zip Code:26726-4503
Mailing Address - Country:US
Mailing Address - Phone:304-749-7719
Mailing Address - Fax:
Practice Address - Street 1:112 KUYKENDALL LN
Practice Address - Street 2:
Practice Address - City:MOOREFIELD
Practice Address - State:WV
Practice Address - Zip Code:26836-1167
Practice Address - Country:US
Practice Address - Phone:304-530-7755
Practice Address - Fax:304-530-7756
Is Sole Proprietor?:No
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV65986363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily