Mollie Bruce
Individual provider Active NPI Community Health Worker · Hurricane, WV
NPI 1013592633 · NPPES record last updated Mar 15, 2021
Key facts
- NPI
- 1013592633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 3204 Virginia Ave
Hurricane, WV 25526-1324 - Phone
- (304) 962-0976
- NPI assigned
- Mar 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
3204 Virginia Ave
Hurricane, WV 25526-1324
Mailing address
3204 Virginia Ave
Hurricane, WV 25526-1324
Other providers in Hurricane, WV
- Shannon Brooks
- Pamela Sue Brown
- William Matthew Brown
- Alexis Browning
- Sheri Browning
- Deidra A Brumfield
- Lonnie Bryant
- Sydney Rae Buckland
- Jessica Buerck
- Heather Nicole Bumgarner
All providers in Hurricane, WV · Community Health Worker 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 Mar 15, 2021. 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.