Patti Lynn Willey
Individual provider Active NPI Personal Care Attendant · Middlebourne, WV
NPI 1245742907 · NPPES record last updated Jun 20, 2018
Key facts
- NPI
- 1245742907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 117 Main St
Middlebourne, WV 26149-9687 - Phone
- (304) 758-2611
- NPI assigned
- Nov 2, 2017
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | WV | Yes |
Addresses
Primary practice location
117 Main St
Middlebourne, WV 26149-9687
Mailing address
117 Main St
Middlebourne, WV 26149-9687
Phone (304) 758-2611
Other names
- Patti Lynn Rosa
Other providers in Middlebourne, WV
- Heather Dawn Weekley
- Jackie Lou Weekley
- Pamela Kay Weekley
- Bryana Dawn Wells
- Wetzel County Hospital Association
- Alisha Jane Williams
All providers in Middlebourne, 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 Jun 20, 2018. 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.