Crystal Dawn Gibson
Individual provider Active NPI Personal Care Attendant · Man, WV
NPI 1194396705 · NPPES record last updated Jul 6, 2021
Key facts
- NPI
- 1194396705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 24 Anchor Rd
Man, WV 25635-9221 - Phone
- (304) 583-7249
- NPI assigned
- Jul 6, 2021
- 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
24 Anchor Rd
Man, WV 25635-9221
Mailing address
24 Anchor Rd
Man, WV 25635-9221
Phone (304) 583-7249
Other providers in Man, WV
- Taylor Duncan
- Jonathan Matthew Ellis
- Wilson Gene Evans
- Faithful Works Homecare LLC
- Family Healthcare Associates Inc
- Elizabeth Brook Hannah Gibson
- Stephanie Goble
- Shellia Jean Grimmett
- Holli Harvey
- Cassandra Imes
All providers in Man, 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 6, 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.