Sharon Covette Deshazo
Individual provider Active NPI Personal Care Attendant · Welch, WV
NPI 1134734650 · NPPES record last updated Sep 11, 2020
Key facts
- NPI
- 1134734650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 725 Stewart St
Welch, WV 24801-2125 - Phone
- (304) 436-6588
- Fax
- (304) 436-2006
- NPI assigned
- Sep 11, 2020
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
725 Stewart St
Welch, WV 24801-2125
Mailing address
725 Stewart St
Welch, WV 24801-2125
Phone (304) 436-6588
Other providers in Welch, WV
- Heather Renee Dawson
- Lashayna Lashae Day
- Sharon Arlene Day
- Deebs Drugs Inc
- Carol Suzanne Dennison
- Elsie Lea Deskins
- Kimberly Dillard
- Anthony Dillon
- Scott Craig Dobberke
- Doc.Com Pharmacy LLP
All providers in Welch, 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 Sep 11, 2020. 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.