Makenzie Rose Amend

Individual provider Active NPI Case Manager/Care Coordinator · Wheeling, WV

NPI 1154039667 · NPPES record last updated Nov 14, 2022

Key facts

NPI
1154039667
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
111 Park View LN Ste 204
Wheeling, WV 26003-5406
Phone
(304) 243-1865
NPI assigned
Nov 14, 2022
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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

111 Park View LN Ste 204
Wheeling, WV 26003-5406

Mailing address

111 Park View LN Ste 204
Wheeling, WV 26003-5406
Phone (304) 243-1865

Other providers in Wheeling, WV

All providers in Wheeling, WV · Case Manager/Care Coordinator in West Virginia

Sources for this page

Verify at the official NPI Registry.