Audra G Burrell

Individual provider Active NPI Personal Care Attendant · Keyser, WV

NPI 1144834748 · NPPES record last updated Jul 9, 2021

Key facts

NPI
1144834748
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
176 Argyle St
Keyser, WV 26726-3303
Phone
(304) 209-9730
NPI assigned
Sep 2, 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

176 Argyle St
Keyser, WV 26726-3303

Mailing address

176 Argyle St
Keyser, WV 26726-3303
Phone (304) 209-9730

Other providers in Keyser, WV

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

Sources for this page

Verify at the official NPI Registry.