Crystal Clem
Individual provider Active NPI Personal Care Attendant · Weston, WV
NPI 1114697232 · NPPES record last updated Oct 25, 2021
Key facts
- NPI
- 1114697232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 171 W 2ND St
Weston, WV 26452-1665 - Phone
- (304) 269-5738
- NPI assigned
- Sep 20, 2021
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | |||
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
171 W 2ND St
Weston, WV 26452-1665
Mailing address
171 W 2ND St
Weston, WV 26452-1665
Phone (304) 269-5738
Other providers in Weston, WV
- Grace Chou
- Paramjit Chumber
- City of Weston
- Cathy Lou Claypoole
- Jennifer Claypoole
- Rachel Ann Clemens
- Marla Cline
- Lee Ann Coffield
- Cheryl Cogar
- Blaine E Collins
All providers in Weston, 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 25, 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.