Brenda Sue Boone
Individual provider Active NPI Personal Care Attendant · Mount Nebo, WV
NPI 1225638752 · NPPES record last updated Dec 23, 2022
Key facts
- NPI
- 1225638752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1121 Bruce Rd
Mount Nebo, WV 26679-8042 - Phone
- (304) 880-3836
- NPI assigned
- Oct 26, 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
1121 Bruce Rd
Mount Nebo, WV 26679-8042
Mailing address
1121 Bruce Rd
Mount Nebo, WV 26679-8042
Phone (304) 880-3836
Other providers in Mount Nebo, WV
- Melody Blackburn
- Linda Blankenship
- Thresea Blevins
- Caleb Boggs
- Stephanie Bollinger
- Brandi N Bostic
- Patrick Ray Bowles
- Tonya Brady
- Lenise Branard
- Laneka Branch
All providers in Mount Nebo, 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 Dec 23, 2022. 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.