| Erin Listermann, RN, CNM, APRN | |
|
97 Great Teays Blvd, Ste 6, Scott Depot, WV 25560-9815 | |
| (304) 757-6999 | |
| (304) 201-5019 |
| Full Name | Erin Listermann |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 97 Great Teays Blvd, Scott Depot, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245778232 | NPI | - | NPPES |
| 1245778232 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 78395 (West Virginia) | Secondary |
| 367A00000X | Advanced Practice Midwife | APRN78395MIDWIFE (West Virginia) | Primary |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194759290 PECOS PAC ID: 4587568134 Enrollment ID: O20031125000177 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1740450089 PECOS PAC ID: 4587568134 Enrollment ID: O20080807000128 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578073706 PECOS PAC ID: 4587568134 Enrollment ID: O20180312001821 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770745036 PECOS PAC ID: 4587568134 Enrollment ID: O20190806002319 |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Listermann, RN, CNM, APRN 97 Great Teays Blvd, Ste 6, Scott Depot, WV 25560-9815 Ph: (304) 757-6999 | Erin Listermann, RN, CNM, APRN 97 Great Teays Blvd, Ste 6, Scott Depot, WV 25560-9815 Ph: (304) 757-6999 |
Deborah Louise Woolley, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 301 Great Teays Blvd Ste 6, Scott Depot, WV 25560 Phone: 304-757-6999 Fax: 304-201-5019 | |
Danielle R Maness, WHNP, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560 Phone: 304-757-6999 Fax: 304-201-5019 |