Amy King-Nelson

Individual provider Active NPI Home Health Aide · Crawley, WV

NPI 1114715943 · NPPES record last updated Apr 30, 2025

Key facts

NPI
1114715943
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
12686 Midland Trail W
Crawley, WV 24931
Phone
(304) 667-0731
NPI assigned
Apr 30, 2025
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)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

12686 Midland Trail W
Crawley, WV 24931

Mailing address

PO Box 201
Crawley, WV 24931-0201

Other providers in Crawley, WV

All providers in Crawley, WV · Home Health Aide in West Virginia

Sources for this page

Verify at the official NPI Registry.