Provider Demographics
NPI:1245948439
Name:LETART, STEVEN (LPN)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:LETART
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 VIRGINIA ST EAST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23162 WINFIELD RD
Practice Address - Street 2:
Practice Address - City:FRAZIERS BOTTOM
Practice Address - State:WV
Practice Address - Zip Code:25082-7224
Practice Address - Country:US
Practice Address - Phone:304-807-1561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV31099164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse