Sharon Beth Chambers, RN

Individual provider Active NPI Home Health Registered Nurse · South Charleston, WV

NPI 1053096800 · NPPES record last updated Jun 20, 2023

Key facts

NPI
1053096800
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
35340 (WV)
Practice address
4825 Maccorkle Ave SW Ste F
South Charleston, WV 25309-1365
Phone
(304) 346-9667
Fax
(304) 346-9667
NPI assigned
Jun 20, 2023
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
35340WVMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 35340 WV Yes

Addresses

Primary practice location

4825 Maccorkle Ave SW Ste F
South Charleston, WV 25309-1365

Mailing address

4825 Maccorkle Ave SW Ste F
South Charleston, WV 25309-1365
Phone (304) 346-9667

Other providers in South Charleston, WV

All providers in South Charleston, WV · Home Health Registered Nurse in West Virginia

Sources for this page

Verify at the official NPI Registry.