Shaina Price

Individual provider Active NPI Technician/Technologist · Fairview, WV

NPI 1063009090 · NPPES record last updated Dec 23, 2020

Key facts

NPI
1063009090
Entity type
Individual (NPI type 1)
Primary specialty
Technician/Technologist 156F00000X
License
30083138
Practice address
1047 Daybrook Rd
Fairview, WV 26570-8616
Phone
(304) 376-2794
NPI assigned
Dec 23, 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)CodeLicenseStatePrimary
Technician/Technologist 156F00000X 30083138 Yes

Addresses

Primary practice location

1047 Daybrook Rd
Fairview, WV 26570-8616

Mailing address

1047 Daybrook Rd
Fairview, WV 26570-8616
Phone (304) 376-2794

Electronic endpoints

TypeEndpointUseAffiliation
Other URL shaina495@gmail.com

Other providers in Fairview, WV

All providers in Fairview, WV · Technician/Technologist in West Virginia

Sources for this page

Verify at the official NPI Registry.