Stacey L Bartlett

Individual provider Active NPI Home Health Aide · Parkersburg, WV

NPI 1003587205 · NPPES record last updated Sep 27, 2021

Key facts

NPI
1003587205
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
3901 Briscoe Run Rd
Parkersburg, WV 26104-0002
Phone
(304) 422-0776
NPI assigned
Sep 27, 2021
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
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

3901 Briscoe Run Rd
Parkersburg, WV 26104-0002

Mailing address

3901 Briscoe Run Rd
Parkersburg, WV 26104-0002
Phone (304) 422-0776

Other providers in Parkersburg, WV

All providers in Parkersburg, WV · Home Health Aide in West Virginia

Sources for this page

Verify at the official NPI Registry.