Felicia D'Urzo Niehaus, DEV. SPECIALIST

Individual provider Active NPI Early Intervention Provider Agency · Cameron, WV

NPI 1205665684 · NPPES record last updated Aug 25, 2024

Key facts

NPI
1205665684
Entity type
Individual (NPI type 1)
Primary specialty
Early Intervention Provider Agency 252Y00000X
Practice address
69 Big Cove Dr
Cameron, WV 26033-1645
Phone
(304) 312-1952
NPI assigned
Aug 1, 2024
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
Early Intervention Provider Agency 252Y00000X Yes

Addresses

Primary practice location

69 Big Cove Dr
Cameron, WV 26033-1645

Mailing address

69 Big Cove Dr
Cameron, WV 26033-1645
Phone (304) 312-1952

Other providers in Cameron, WV

All providers in Cameron, WV · Early Intervention Provider Agency in West Virginia

Sources for this page

Verify at the official NPI Registry.