Crystal Ann Gandy

Individual provider Active NPI Personal Care Attendant · Elkview, WV

NPI 1093462301 · NPPES record last updated Mar 8, 2022

Key facts

NPI
1093462301
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
1511 Frame Rd Apt 27
Elkview, WV 25071-8166
Phone
(304) 984-0334
NPI assigned
Mar 7, 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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

1511 Frame Rd Apt 27
Elkview, WV 25071-8166

Mailing address

1511 Frame Rd Apt 27
Elkview, WV 25071-8166
Phone (304) 984-0334

Other providers in Elkview, WV

All providers in Elkview, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.