Sue Ann Archer

Individual provider Active NPI Personal Care Attendant · Barboursville, WV

NPI 1003561523 · NPPES record last updated Feb 14, 2022

Key facts

NPI
1003561523
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
652 Main St
Barboursville, WV 25504-1439
Phone
(304) 302-0707
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

652 Main St
Barboursville, WV 25504-1439

Mailing address

652 Main St
Barboursville, WV 25504-1439

Other providers in Barboursville, WV

All providers in Barboursville, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.