MAGGIE KING CLENDENEN (NPI# 1659840486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659840486 |
| Entity Type | Individual |
| Full Name | MAGGIE KING CLENDENEN |
| Credential | AGPCNP-BC |
| Practice Address |
454 Bell Drive Lewisburg WV 24901 |
| Mailing Address |
454 Bell Dr Lewisburg WV 24901-2052 |
| Practice Telephone | 7176122745 |
| Enumeration Date | 2018-11-22 |
| Last Update Date | 2018-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN71119-AGPCNP | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
454 BELL DRIVE |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| 1992281299 | Crissandra Digges | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-19 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740534643 | Tanyia Delane Montie | Nurse Practitioner | 223 Maplewood Ave, Lewisburg, WV 24901-9459 | 2012-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186241 | Jeremy Lee Mount | Nurse Practitioner | 126 Woodland Dr, Huntington, WV 25705-1346 | 2020-08-24 |
| 1275167447 | Teresa Lynn Ward | Nurse Practitioner | 60 Falling Water Ln, Morgantown, WV 26508-4498 | 2020-02-26 |
| 1225539828 | Tiffany Dawn Newman | Nurse Practitioner | 4000 Hampton Ctr Ste B, Morgantown, WV 26505-1730 | 2018-02-28 |
| 1407360589 | Caitlin Elizabeth Arthur | Nurse Practitioner | 501 Morris St Ste 362, Charleston, WV 25301-1326 | 2017-11-28 |
| 1932719747 | Christina Sigman | Nurse Practitioner | 640 Sandhill Rd, Point Pleasant, WV 25550-2163 | 2020-08-06 |
| 1275150047 | Roger Mark Booth Jr. | Nurse Practitioner | 1540 Spring Valley Dr, Huntington, WV 25704-9501 | 2020-06-28 |
| 1275035107 | Courtney Layton | Nurse Practitioner | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2018-03-07 |
| 1801396981 | Penny Lea Ramsey | Nurse Practitioner | 11950 Maccorkle Ave, Chesapeake, WV 25315-1135 | 2018-02-15 |
| 1275988636 | Leanne Richardson | Nurse Practitioner | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2016-05-04 |
| 1073983813 | Brenda Hashem | Nurse Practitioner | 1 Healthy Way, Berkeley Springs, WV 25411-7463 | 2015-10-06 |
| Find all providers with the same taxonomy | ||||
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| 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.