Susan Cullifer, RN

Individual provider Active NPI Home Health Registered Nurse · Ona, WV

NPI 1124704465 · NPPES record last updated Jun 22, 2023

Key facts

NPI
1124704465
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
107355 (WV)
Practice address
9154 Route 60
Ona, WV 25545-7416
Phone
(304) 733-9430
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
107355WVMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of West Virginia, PLLC Current
since Jun 25, 2023
Accepting new patients

Locations

9154 US Route 60
Ona, WV 25545
Phone (304) 610-7603

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 107355 WV Yes

Addresses

Primary practice location

9154 Route 60
Ona, WV 25545-7416

Mailing address

9154 US Route 60
Ona, WV 25545-7416

Other providers in Ona, WV

All providers in Ona, WV · Home Health Registered Nurse in West Virginia

Sources for this page

Verify at the official NPI Registry.