Polly L Castle
Individual provider Active NPI Nurse's Aide · Madison, WV
NPI 1295587707 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1295587707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 1 Avenue C Ste 109
Madison, WV 25130-1100 - Phone
- (304) 369-6400
- NPI assigned
- Apr 5, 2024
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Yes |
Addresses
Primary practice location
1 Avenue C Ste 109
Madison, WV 25130-1100
Mailing address
1 Avenue C Ste 109
Madison, WV 25130-1100
Phone (304) 369-6400
Other providers in Madison, WV
- Alexandria Kayrenda Carter
- Margaret Carter
- Phillip Cash
- Rosemary Cash
- Melanie Castle
- Richard Castle
- Tonya D Castle
- Ziad Amin Chanaa
- Chaney Eye Care PLLC
- Donna M Chaney
All providers in Madison, WV · Nurse's Aide 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 Apr 5, 2024. 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.