Donna Nichols

Individual provider Active NPI Personal Care Attendant · Grantsville, WV

NPI 1114514734 · NPPES record last updated Dec 29, 2020

Key facts

NPI
1114514734
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
105 Market St # 619
Grantsville, WV 26147-4700
Phone
(304) 354-7017
NPI assigned
Dec 29, 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
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

105 Market St # 619
Grantsville, WV 26147-4700

Mailing address

105 Market St # 619
Grantsville, WV 26147-4700
Phone (304) 354-7017

Other providers in Grantsville, WV

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

Sources for this page

Verify at the official NPI Registry.