Mrs Hermiety Jo Van Laar, FNP-BC is a
Nurse Practitioner - Family based in Triadelphia, West Virginia. Mrs Hermiety Jo Van Laar is licensed to practice in West Virginia (license number 65789) and her current practice location is
2596 Battle Run Rd, Triadelphia, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 547-2928.
NPI number for Mrs Hermiety Jo Van Laar is 1528290707 and her current mailing address is 2596 Battle Run Rd, Triadelphia, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528290707.
Provider's Profile
| Full Name | Mrs Hermiety Jo Van Laar |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2596 Battle Run Rd, Triadelphia, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528290707
- Provider Enumeration Date: 08/20/2009
- Last Update Date: 01/03/2017
Medical Identifiers
Medical identifiers for Mrs Hermiety Jo Van Laar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528290707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 65789 (West Virginia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | APRN65789NP (West Virginia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Hermiety Jo Van Laar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Hermiety Jo Van Laar, FNP-BC
2596 Battle Run Rd,
Triadelphia, WV 26059-1200
Ph: (304) 547-2928 | Mrs Hermiety Jo Van Laar, FNP-BC
2596 Battle Run Rd,
Triadelphia, WV 26059-1200
Ph: (304) 547-2928 |
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