Nikki Nicole Stevens

Individual provider Active NPI Personal Care Attendant · Mannington, WV

NPI 1003640400 · NPPES record last updated Aug 28, 2024

Key facts

NPI
1003640400
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
301 Buffalo St
Mannington, WV 26582-1340
Phone
(304) 657-2600
NPI assigned
Aug 28, 2024
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

301 Buffalo St
Mannington, WV 26582-1340

Mailing address

301 Buffalo St
Mannington, WV 26582-1340
Phone (304) 657-2600

Other providers in Mannington, WV

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

Sources for this page

Verify at the official NPI Registry.