Brianna Jean Blizzard
Individual provider Active NPI Personal Care Attendant · Keyser, WV
NPI 1164032264 · NPPES record last updated Jul 9, 2021
Key facts
- NPI
- 1164032264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 73 Paradise LN
Keyser, WV 26726-1488 - Phone
- (304) 790-0852
- NPI assigned
- Aug 4, 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
73 Paradise LN
Keyser, WV 26726-1488
Mailing address
73 Paradise LN
Keyser, WV 26726-1488
Phone (304) 790-0852
Other providers in Keyser, WV
- Katherine Black
- Rebecca Blacka
- Shannon Blacka
- Ariel Blackburn
- Elena Blanchek
- Rayma Jean Blizzard
- Shondra Marie Blizzard
- Lisa Boggs
- Harshad Bokil
- Steven Michael Bollinger
All providers in Keyser, 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 Jul 9, 2021. 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.