Mariah Bacon
Mariah Bacon is a Nurse Practitioner in Shepherdstown, West Virginia. Qualified in 2023, 3 years ago. Practices with Valley Regional Enterprises, Inc, a 54-clinician group and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 3
- Licensed in
- VA
- In the registry since
- 2024
Practice location Address checks out
301 N King StShepherdstown, WV 25443
Phone: (304) 876-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 0024190164 (VA) |
|---|
Record details
| NPI number | 1083459853 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 25, 2024 |
| Last updated in NPPES | June 25, 2024 |
| Certification date | June 14, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Valley Regional Enterprises, Inc — 54 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Shepherdstown
-
Jillian T Emmerich
60 Maclaine Way, Shepherdstown, WV 25443-1667 · (304) 876-6343
-
Caroline Clagett McLeod, DNP
207 S Princess St, Shepherdstown, WV 25443-1581 · (304) 261-0313
-
Leslie Danielle Baugher Stine, CRNP-FAMILY
60 Maclaine Way, Shepherdstown, WV 25443-1667 · (304) 876-6343