Misty Brown
Individual provider Active NPI Personal Care Attendant · Glen Daniel, WV
NPI 1053910075 · NPPES record last updated Oct 21, 2020
Key facts
- NPI
- 1053910075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 179 Murdock Loop
Glen Daniel, WV 25844-9476 - Phone
- (304) 228-3079
- NPI assigned
- Oct 21, 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 | WV | Yes |
Addresses
Primary practice location
179 Murdock Loop
Glen Daniel, WV 25844-9476
Mailing address
179 Murdock Loop
Glen Daniel, WV 25844-9476
Phone (304) 228-3079
Other providers in Glen Daniel, WV
- Edna Renee Acord
- Amy Nicole Adkins
- Appalachian Dental Care, Inc.
- Victoria Bowman
- Juli V Brehm
- Tasha Marie Chaver-Fajarido
- Rebecca Clark
- Community Health Systems Inc
- Community Health Systems Inc
- Community Health Systems, Inc.
All providers in Glen Daniel, 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 Oct 21, 2020. 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.