MRS. EDNA PAULINE HISIRO (NPI# 1922145614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922145614 |
| Entity Type | Individual |
| Full Name | MRS. EDNA PAULINE HISIRO |
| Credential | CFNP |
| Practice Address |
30 Mon Health Drive Morgantown WV 26505-2853 |
| Mailing Address |
1509 Dulles Dr Lafayette LA 70506-3718 |
| Practice Telephone | 3379919276 |
| Practice Fax Number | 3379430846 |
| Mailing Telephone | 3379919276 |
| Mailing Fax Number | 3379430846 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
54832 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICAID GROUP | 3380640 | 01 |
| TN | RN LICENSE NUMBER | RN151420 | 01 |
| TN | MEDICARE GROUP NUMBER | 3380640 | 01 |
| DEA | MH1339515 | 01 | |
| TN | APN LICENSE NUMBER | APN11548 | 01 |
| Street Address |
30 MON HEALTH DRIVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396786034 | Karen Louise Mallow | Nurse Practitioner | 30 Mon Health Drive, Morgantown, WV 26505-2853 | 2006-06-10 |
| 1467954214 | Lisa Laine Lepera | Nurse Practitioner | 30 Mon Health Drive, Morgantown, WV 26505 | 2018-03-07 |
| 1134620206 | Brittany Jo Cox | Nurse Practitioner | 30 Mon Health Drive, Morgantown, WV 26505-2853 | 2018-02-23 |
| 1619499183 | Christina Fay St. Clair | Nurse Practitioner | 30 Mon Health Drive, Morgantown, WV 26505 | 2017-07-17 |
| 1922529940 | Amber Lynn Mutimer | Nurse Practitioner | 30 Mon Health Drive, Morgantown, WV 26505-2853 | 2017-06-29 |
| 1407388465 | Elysia Lynn Stonem | Registered Nurse | 30 Mon Health Drive, Morgantown, WV 26505-2853 | 2017-03-29 |
| 1730563719 | Lindsey Bowles | Nurse Practitioner | 30 Mon Health Drive, Morgantown, WV 26505-2853 | 2015-07-19 |
| 1184960338 | Julie C. Furrow | Nurse Practitioner | 30 Mon Health Drive, Morgantown, WV 26505-2853 | 2012-12-17 |
| 1427377423 | Karie Rabagia | Nurse Practitioner | 30 Mon Health Drive, Morgantown, WV 26505-2853 | 2010-05-31 |
| 1174756373 | Sherri Dawn Arthur | Nurse Practitioner | 30 Mon Health Drive, Morgantown, WV 26505-2853 | 2009-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520800 | Debra L Fox | Nurse Practitioner | 3420 Lazzelle Union Rd, Morgantown, WV 26501-2086 | 2020-05-26 |
| 1407489396 | Sonya Rouleau | Nurse Practitioner | 1005 Ann Marie Dr, Morgantown, WV 26508-9280 | 2020-02-19 |
| 1760038806 | Christy Stahl | Nurse Practitioner | 751 Benefactor Dr, Morgantown, WV 26501-1123 | 2019-08-14 |
| 1669974267 | Lindsay Brooke Arbogast | Nurse Practitioner | 1300 Fort Pierpont Dr # 101, Morgantown, WV 26508-1314 | 2018-02-28 |
| 1174022487 | Brianna Nicole Vikartosky | Nurse Practitioner | 3000 Mon Health Medical Park Dr Ste 3203, Morgantown, WV 26505-1135 | 2018-02-02 |
| 1760901334 | Melissa Dawn Dingey | Nurse Practitioner | 30 Mon Health Dr, Morgantown, WV 26505-2853 | 2017-09-15 |
| 1992223382 | Erica Kuhnlein | Nurse Practitioner | 186 Fairchance Rd, Morgantown, WV 26508-4435 | 2017-09-06 |
| 1447774096 | Kristen Wigal | Nurse Practitioner | 2600 Cranberry Sq, Morgantown, WV 26508-9201 | 2017-07-26 |
| 1780068742 | Natasha Dawn Wamsley | Nurse Practitioner | 108 Clear Spring Dr, Morgantown, WV 26508-3203 | 2015-07-19 |
| 1558743849 | Stonerise Services, LLC | Nurse Practitioner | 30 Mon General Dr, Morgantown, WV 26505-2853 | 2015-06-23 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on MRS. EDNA PAULINE HISIRO.
| 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.