Donitra C Flint

Individual provider Active NPI Homemaker · Fairmont, WV

NPI 1013511435 · NPPES record last updated Nov 25, 2020

Key facts

NPI
1013511435
Entity type
Individual (NPI type 1)
Primary specialty
Homemaker 376J00000X
Practice address
503 Morgantown Ave
Fairmont, WV 26554-4388
Phone
(304) 363-7375
Fax
(304) 363-7376
NPI assigned
Nov 25, 2020
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
Homemaker 376J00000X Yes

Addresses

Primary practice location

503 Morgantown Ave
Fairmont, WV 26554-4388

Mailing address

900 W Washington St
Grafton, WV 26354-1040
Phone (304) 838-2993

Electronic endpoints

TypeEndpointUseAffiliation
Other URL flintdonitra@yahoo.com Health Information Exchange (HIE)

Other providers in Fairmont, WV

All providers in Fairmont, WV · Homemaker in West Virginia

Sources for this page

Verify at the official NPI Registry.