Mary Shaffer
Individual provider Active NPI Community Health Worker · Mineral Wells, WV
NPI 1093390619 · NPPES record last updated Mar 15, 2021
Key facts
- NPI
- 1093390619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1106 Turkey Foot Rd
Mineral Wells, WV 26150-8509 - Phone
- (304) 488-1956
- 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
1106 Turkey Foot Rd
Mineral Wells, WV 26150-8509
Mailing address
1106 Turkey Foot Rd
Mineral Wells, WV 26150-8509
Other providers in Mineral Wells, WV
- Dawn Robertson
- RSM Pharmacy Inc
- Lisa Marie Rutter
- Amber Ryan
- Andrew Robert Sells
- Stacie Siegel
- Kristi Skinner
- Rachel Sleeth
- Krzysztof Maciej Sobieraj
- Rebecca June Somerville
All providers in Mineral Wells, 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.