Provider Demographics
NPI:1144824608
Name:STENGEL, MARCIA A
Entity type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:A
Last Name:STENGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 SCARLET OAK DR
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25405-8170
Mailing Address - Country:US
Mailing Address - Phone:304-283-9081
Mailing Address - Fax:
Practice Address - Street 1:102 CROOKED OAK WAY
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25405-6368
Practice Address - Country:US
Practice Address - Phone:304-377-3901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant