Paulette Ersula Graham
Individual provider Active NPI Personal Care Attendant · Josephine, WV
NPI 1013513654 · NPPES record last updated Jan 10, 2023
Key facts
- NPI
- 1013513654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 2903 Odd Rd
Josephine, WV 25857-9402 - Phone
- (304) 223-2053
- NPI assigned
- Dec 9, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
2903 Odd Rd
Josephine, WV 25857-9402
Mailing address
2903 Odd Rd
Josephine, WV 25857-9402
Phone (304) 223-2053
Other providers in Josephine, WV
- Jeremy Adam Ferguson
- Judy Irene Halsey
- Carrie Christine Ritchie
- Kylie Marie Ritchie
- Savannah Vanessa Ritchie
All providers in Josephine, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.