Eli Nolasco

NPI 1063174670 · on the registry since 2021 · sole proprietor

Practice

Address: 80 Maddex Dr
Shepherdstown, WV 25443
Phone: (304) 876-9422
Organisation at this address: Skyline Wound Care Pllc
Canterbury Center Opco, Llc
80 Maddex Drive Operations Llc
Canterbury Of Shepherdstown, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: WV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-10-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia