Brandi Frye

Individual provider Active NPI Personal Care Attendant · Glenville, WV

NPI 1336748748 · NPPES record last updated Oct 19, 2020

Key facts

NPI
1336748748
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
720 N Lewis St
Glenville, WV 26351-1319
Phone
(304) 462-5761
Fax
(304) 462-8239
NPI assigned
Oct 19, 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

720 N Lewis St
Glenville, WV 26351-1319

Mailing address

720 N Lewis St
Glenville, WV 26351-1319
Phone (304) 462-5761

Other providers in Glenville, WV

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

Sources for this page

Verify at the official NPI Registry.