Provider Demographics
NPI:1730706441
Name:HAPUARACHY, CALLIE A (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:CALLIE
Middle Name:A
Last Name:HAPUARACHY
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:MS
Other - First Name:CALLIE
Other - Middle Name:A
Other - Last Name:HUTCHINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN, FNP-BC
Mailing Address - Street 1:3415 MACCORKLE AVE. SE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1334
Mailing Address - Country:US
Mailing Address - Phone:304-388-8380
Mailing Address - Fax:304-388-8388
Practice Address - Street 1:CAMC CANCER CENTER
Practice Address - Street 2:3415 MACCORKLE AVE. SE.
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1334
Practice Address - Country:US
Practice Address - Phone:304-388-8380
Practice Address - Fax:304-388-8388
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV83617363LF0000X, 363LF0000X
WV106973207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1730706441OtherMARSHALL HEALTH