Tiffanie Marie Adkins

Individual provider Active NPI Personal Care Attendant · Logan, WV

NPI 1154918878 · NPPES record last updated Dec 29, 2020

Key facts

NPI
1154918878
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
82 Everett St
Logan, WV 25601-3512
Phone
(304) 601-2095
NPI assigned
Dec 29, 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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X WV Yes

Addresses

Primary practice location

82 Everett St
Logan, WV 25601-3512

Mailing address

82 Everett St
Logan, WV 25601-3512
Phone (304) 601-2095

Other providers in Logan, WV

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

Sources for this page

Verify at the official NPI Registry.