person
Mary T Canella, CRNP
Family Nurse Practitioner in Weirton, West Virginia
NPI 1568764835

Mary T Canella is a Family Nurse Practitioner based in Weirton, WV and is specialized in Family. Mary T Canella practices in Weirton, WV and has the professional credentials of CRNP. The NPI Number for Mary T Canella is 1568764835 and holds a License No. 57996 (West Virginia).

The current practice location address for Mary T Canella is 485 Colliers Way, Weirton, WV and can be reached out via phone at 304-723-5400 and via fax at 304-723-5400. You can also correspond with Mary T Canella through the mailing address at 485 COLLIERS WAY, WEIRTON, WV - 26062-5012 (mailing address contact number: 304-723-5400).

Location: 485 Colliers Way, Weirton, WV, 26062-5012
person
Provider Profile Details
NPI Number
1568764835
Provider Name
Mary T Canella
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
485 Colliers Way, Weirton, WV, 26062-5012
Phone Number
304-723-5400
Fax Number
304-723-5400
Provider Enumeration Date
11/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0109904 05 OH
1027635930001 05 PA
institution
Provider Business Practice Location Address Details
Address
485 Colliers Way
City
State
Zip
26062-5012
Phone Number
304-723-5400
Fax Number
304-723-5400
person
Provider Business Mailing Address Details
Address
485 Colliers Way
City
State
Zip
26062-5012
Phone Number
304-723-5400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
57996 (West Virginia)
Definition
Definition to come...
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