BETHANY DAWN FARLEY - NPI 1104535418 - Licensed Practical Nurse in Charleston, WV

Q: What is Bethany Farley's NPI number?

The NPI number for Bethany Farley is 1104535418. It was assigned to this individual provider in the NPPES registry on November 16, 2022.

Q: What is Bethany Farley's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Farley was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Bethany Dawn Farley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY DAWN FARLEY (NPI 1104535418) is an individual licensed practical nurse in Charleston, West Virginia, licensed in West Virginia (25035) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1104535418

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameBETHANY DAWN FARLEY

Location Address900 VIRGINIA ST E STE 400Charleston, WV 25301-2835

Mailing Address900 Virginia St E Ste 400Charleston, WV 25301-2835 · (681) 313-4759 · Fax (844) 800-3954

Phone(681) 313-4759

Fax(844) 800-3954

Sole ProprietorYes

Enumeration DateNovember 16, 2022

NPPES CertifiedNovember 16, 2022

✔ NPI 1104535418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in WV · 25035

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

900 VIRGINIA ST E STE 400, Charleston, WV 25301

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Other Identifiers 1

Medicaid1487758710WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAXIM HEALTHCARE SERVICES INC.

Community/Behavioral Health