Andria Boring

Individual provider Active NPI Personal Care Attendant · Salem, WV

NPI 1245845387 · NPPES record last updated Sep 15, 2020

Key facts

NPI
1245845387
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
195 W Main St
Salem, WV 26426-1229
Phone
(304) 782-2190
NPI assigned
Sep 15, 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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

195 W Main St
Salem, WV 26426-1229

Mailing address

PO Box 188
Salem, WV 26426-0188

Other providers in Salem, WV

All providers in Salem, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.