MRS. MARY JUNE IBACH LPN
NPI 1699514521
Licensed Practical Nurse in Charleston, WV

Q: What is Mary Ibach's NPI number?

The NPI number for Mary Ibach is 1699514521. It was assigned to this individual provider in the NPPES registry on May 21, 2024. The provider is also known as Miss Mary June America Lpc.

Q: What is Mary Ibach'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 Mary Ibach was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 21, 2024

900 VIRGINIA ST. EAST SUITE 500 MAXIM HEALTHCARE, CHARLESTON, WV 25301(681) 313-4759 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Mary June Ibach Lpn NPPES

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

MRS. MARY JUNE IBACH LPN (NPI 1699514521) is an individual licensed practical nurse in Charleston, West Virginia, licensed in Maryland (LP-14881) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1699514521

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. MARY JUNE IBACHCredential: LPN

Location Address900 VIRGINIA ST. EAST SUITE 500 MAXIM HEALTHCARECharleston, WV 25301

Mailing Address104 Process Rd.Hedgeville, WV 25427 · (301) 471-7885

Phone(681) 313-4759

Sole ProprietorNo

Enumeration DateMay 21, 2024

✔ NPI 1699514521 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 MD · LP-14881

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. EAST SUITE 500 MAXIM HEALTHCARE, Charleston, WV 25301

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Other Names 1

Former Name (1)Miss Mary June America Lpc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ibach's NPI number?

The NPI number for Mary Ibach is 1699514521. It was assigned to this individual provider in the NPPES registry on May 21, 2024. The provider is also known as Miss Mary June America Lpc.

Where is Mary Ibach located?

Mary Ibach practices at 900 Virginia St. East Suite 500 Maxim Healthcare, Charleston, WV 25301. The listed phone number is (681) 313-4759.

What is Mary Ibach's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Ibach was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.