Nicolle Leigh Roseberry
Individual provider Active NPI Personal Care Attendant · Crum, WV
NPI 1255117883 · NPPES record last updated Sep 8, 2023
Key facts
- NPI
- 1255117883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 3215 Webb Rd
Crum, WV 25669-8167 - Phone
- (304) 733-1094
- NPI assigned
- Sep 8, 2023
- 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
3215 Webb Rd
Crum, WV 25669-8167
Mailing address
3215 Webb Rd
Crum, WV 25669-8167
Other providers in Crum, WV
- Nettie Mae Messer
- Brenda Gail Moore
- Julie Lynne Muncy
- Denisha Dawn Ratcliff
- Kimberly Ratcliff
- April Dawn Sparks
- Natasha Stacy
- Strosnider Drug
- Catherine Taylor
- Misty Rose Thacker
All providers in Crum, 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 Sep 8, 2023. 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.