Rebecca Brogan
Individual provider Active NPI Licensed Vocational Nurse · Hurricane, WV
NPI 1336847201 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1336847201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 23201 (WV)
- Practice address
- 300B Prestige Park Dr
Hurricane, WV 25526-8419 - Phone
- (304) 202-3864
- NPI assigned
- Feb 21, 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 23201 | WV | Yes |
Addresses
Primary practice location
300B Prestige Park Dr
Hurricane, WV 25526-8419
Mailing address
300B Prestige Park Dr
Hurricane, WV 25526-8419
Phone (304) 532-2774
Other providers in Hurricane, WV
- Leslie J Boyd
- Barbara B Brady
- Gisette Brewster
- Bright Beginnings LLC
- John E Brock
- Shannon Brooks
- Pamela Sue Brown
- William Matthew Brown
- Alexis Browning
- Sheri Browning
All providers in Hurricane, WV · Licensed Vocational Nurse 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 Feb 21, 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.