Pamela Evans
Individual provider Active NPI Homemaker · Ranson, WV
NPI 1154932192 · NPPES record last updated Aug 13, 2020
Key facts
- NPI
- 1154932192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 103 W 5TH Ave
Ranson, WV 25438-1405 - Phone
- (304) 725-4044
- NPI assigned
- Aug 13, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
103 W 5TH Ave
Ranson, WV 25438-1405
Mailing address
103 W 5TH Ave
Ranson, WV 25438-1405
Phone (304) 725-4044
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | JCCOA | Direct |
Other providers in Ranson, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 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.