Provider Demographics
NPI:1740986751
Name:NESTER, MARIE
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:NESTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 BEECHLICK RUN RD
Mailing Address - Street 2:
Mailing Address - City:METZ
Mailing Address - State:WV
Mailing Address - Zip Code:26585-7057
Mailing Address - Country:US
Mailing Address - Phone:304-842-0200
Mailing Address - Fax:
Practice Address - Street 1:69 BEECHLICK RUN RD
Practice Address - Street 2:
Practice Address - City:METZ
Practice Address - State:WV
Practice Address - Zip Code:26585-7057
Practice Address - Country:US
Practice Address - Phone:304-842-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant