Physician Assistant
Ms. TAYLOR D'ETCHEVERRY PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1669943890 · enumerated 2018-12-16 · record updated 2025-08-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: TAYLOR D'ETCHEVERRY
Addresses and phones
- Mailing address 3100 MACCORKLE AVE SE STE 101, CHARLESTON, WV, 25304-1215 (304) 388-5395 Google Maps Apple Maps OpenStreetMap
- Practice location 3100 MACCORKLE AVE SE STE 101, CHARLESTON, WV, 25304-1215 (304) 388-5395 Google Maps Apple Maps OpenStreetMap
Specialties
- Surgery, Surgical Critical Care 2086S0102X · License 2268 WV
- Student in an Organized Health Care Education/Training Program 390200000X
- Physician Assistant 363A00000X · Primary · License 0110009282 VA
In this directory
Locations and evidence
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Practice location
CHARLESTON, WV, 253041215
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.