Gladden, Stephanie Dawn
Gladden, Stephanie Dawn is an individual health care provider with primary practice located at 1000 Tavern Rd Ste 100 , Martinsburg WV 25401-2853. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gladden, Stephanie Dawn can be contacted via phone (304) 267-9355.Contact Information
Primary practice address
1000 Tavern Rd Ste 100
Martinsburg WV 25401-2853
Phone: (304) 267-9355
Fax: (304) 267-9358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 53032 | West Virginia |
Profile Details
| NPI number | 1730119447 |
|---|---|
| LBN Legal business name | Gladden, Stephanie Dawn |
| Credentials | APRN, BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Mar 8th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730119447 | NPPES |
| West Virginia | MEDICAID | 3810001103 |
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