MARILYN LAI FANG (NPI# 1588178511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588178511 |
| Entity Type | Individual |
| Full Name | MARILYN LAI FANG |
| Credential | RN |
| Practice Address |
110 Mordington Ave Charles Town WV 25414-1693 |
| Mailing Address |
Jefferson County Board of Education 110 Mordington Avenue Charles Town WV 25414 |
| Practice Telephone | 3042673595 |
| Practice Fax Number | 3042673599 |
| Mailing Telephone | 3042673595 |
| Mailing Fax Number | 3042673599 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
60293 | WV | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | WV BOARD OF EXAMINERS REGISTERED NURSES | 60293 | 01 |
| Street Address |
110 MORDINGTON AVE |
| City | CHARLES TOWN |
| State | WV |
| Zip Code | 25414-1693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841479706 | Nicole Lynn Kress-scheidmantel | Speech-Language Pathologist | 110 Mordington Ave, Charles Town, WV 25414-1693 | 2007-10-29 |
| 1134734676 | Blair E. Adams | Occupational Therapist | 110 Mordington Ave, Charles Town, WV 25414-1693 | 2020-09-11 |
| 1700491248 | Rachel T Frye | Speech-Language Pathologist | 110 Mordington Ave, Charles Town, WV 25414-1693 | 2020-09-11 |
| 1851804546 | Mary Luckini | Occupational Therapist | 110 Mordington Ave, Charles Town, WV 25414-1693 | 2017-11-16 |
| 1790295442 | Emily Clark | Occupational Therapist | 110 Mordington Ave, Charles Town, WV 25414-1693 | 2017-10-09 |
| 1407366156 | Lola Barron | Registered Nurse | 110 Mordington Ave, Charles Town, WV 25414-1693 | 2017-10-09 |
| 1487041117 | Ramona Rogers | Psychologist | 110 Mordington Ave, Charles Town, WV 25414-1693 | 2015-04-21 |
| 1578999751 | Katrina R Lanham | Registered Nurse | 110 Mordington Ave, Jefferson County Board of Education, Charles Town, WV 25414-1693 | 2013-09-19 |
| 1558605477 | Amber M Dever | Speech-Language Pathologist | 110 Mordington Ave, Jefferson County Board of Education, Charles Town, WV 25414-1693 | 2012-11-15 |
| 1982931416 | Kayla Marie Boggess | Speech-Language Pathologist | 110 Mordington Ave, Charles Town, WV 25414-1693 | 2009-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687478 | E & A Pediatric Home Health Services | Home Health | 207 W. Washington Street, Charles Town, WV 25414 | 2020-10-23 |
| 1013435668 | Ashley Wertman | Physical Therapist | 46 Trifecta Place Ste 104, Charlestown, WV 25414 | 2017-09-05 |
| 1053763532 | Lisa Craft | Social Worker | 138 Wall Street, Charles Town, WV 25414 | 2016-07-07 |
| 1053782227 | Charles William Fellers Jr. | Physical Therapy Assistant | 50 Mulberry St, Charles Town, WV 25414 | 2015-10-14 |
| 1881015055 | Sara Fragale | Student in an Organized Health Care Education/Training Program | 100 Mordington Avenue, Charles Town, WV 25414 | 2013-12-13 |
| 1548519879 | Priyankar Sharma | Family Medicine | University Urgent Care, 912 Somerset Blvd., Suitre 102, Charles Town, WV 25414 | 2012-08-31 |
| 1528316957 | Citizens Fire Company | Ambulance | 245 Citizens Way, Charles Town, WV 25414 | 2012-08-15 |
| 1609101682 | Wendy K Joseph | Speech-Language Pathologist | 109 South College Street, Resa Viii, Martinsburg, WV 25414 | 2009-10-09 |
| 1457595738 | Brittany C Lamb | Speech-Language Pathologist | 50 Mulberry St., Charles Town, WV 25414 | 2009-04-30 |
| 1578703138 | Allison E Miller | Speech-Language Pathologist | 110 Ashby Street, Jefferson County Board of Education, Charles Town, WV 25414 | 2009-02-23 |
| Find all providers in zip 25414 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346783057 | Karen Thompson I | Registered Nurse | 110 Mordington Avenue, Jefferson County Board of Education, Charles Town, WV 25414 | 2016-11-29 |
| 1174075162 | Amy Papavero | Registered Nurse | 110 Mordington Avenue, Jefferson County Board of Education, Charles Town, WV 25414 | 2016-10-26 |
| 1598216723 | Katherine Helmick | Registered Nurse | 110 Mordington Avenue, Jefferson County Board of Ed, Charles Town, WV 25414 | 2016-10-24 |
| 1629355920 | Katelyn R Ludrof | Registered Nurse | 110 Mordington Avenue, Jefferson County Board of Education, Charles Town, WV 25414 | 2011-11-15 |
| 1326323700 | Kimberly L. Mcqueen Boswell | Registered Nurse | 110 Mordington Avenue, Jefferson County Boe, Charles Town, WV 25414 | 2011-10-17 |
| 1720268295 | Paula Emery | Registered Nurse | 110 Mordington Ave, Charles Town, WV 25414-1693 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603077 | Rachel M. Wright-mckay | Registered Nurse | 39 Golden Bear Dr, New Cumberland, WV 26047-1670 | 2020-09-14 |
| 1659986198 | Kaitlyn Hawkins | Registered Nurse | 125 Sinclair Ave, Weirton, WV 26062-4248 | 2020-09-11 |
| 1750996633 | Kelsey Lynn Neterer | Registered Nurse | 1453 Winchester Ave, Martinsburg, WV 25405-5022 | 2020-09-09 |
| 1275144982 | Mary Kathryn Lyons | Registered Nurse | 128 Frankfort Rd, New Cumberland, WV 26047-3004 | 2020-08-14 |
| 1851927040 | Suzanne M. Barnette | Registered Nurse | 77 Courthouse Dr, Winfield, WV 25213-9347 | 2020-03-19 |
| 1902456718 | Jennifer Lynn Fletcher | Registered Nurse | 800 East Mcdonald Avenue, Man, WV 25635 | 2019-09-13 |
| 1730737925 | Jennifer Kincaid | Registered Nurse | 500 Flat Top Rd, Shady Spring, WV 25918-8615 | 2019-08-30 |
| 1326511155 | Shayla Rashell Hagan | Registered Nurse | 331 Buffalo Creek Rd, Kenova, WV 25530-9611 | 2019-01-04 |
| 1366912339 | Elizabeth Hutzler | Registered Nurse | Berkeley County Brd of Education, 1453 Wincherster Avenue, Martinsubug, WV 25403 | 2018-12-03 |
| 1053893412 | Diedra Shanel Huggins | Registered Nurse | 333 Foundry Street, New Martinsville, WV 26155 | 2018-09-02 |
| Find all providers with the same taxonomy | ||||
| City | CHARLES TOWN |
| Zip Code | 25414 |
Please comment or provide details below to improve the information on MARILYN LAI FANG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.