Tiziana Rae Bradley
Individual provider Active NPI Personal Care Attendant · Beaver, WV
NPI 1013678085 · NPPES record last updated Jan 3, 2022
Key facts
- NPI
- 1013678085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 422 Edwards LN
Beaver, WV 25813-8881 - Phone
- (304) 763-6416
- NPI assigned
- Jan 3, 2022
- 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
422 Edwards LN
Beaver, WV 25813-8881
Mailing address
422 Edwards LN
Beaver, WV 25813-8881
Phone (304) 763-6416
Other providers in Beaver, WV
- Joseph Blevins
- Kimberly Bolen
- Krista Bowling
- Jill A Boyce
- Lauren Boyd
- Shaelyn Braenovich
- Ashley Bragg
- Darlene Bragg
- Kirsten Jo Bragg
- Lori Michelle Brown
All providers in Beaver, 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 3, 2022. 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.