Donna Downes-Moore

Individual provider Active NPI Community Health Worker · Danese, WV

NPI 1346834066 · NPPES record last updated Feb 23, 2021

Key facts

NPI
1346834066
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
10 Rock Crusher Ridge Rd
Danese, WV 25831-7182
Phone
(740) 816-1268
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
Yes

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
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

10 Rock Crusher Ridge Rd
Danese, WV 25831-7182

Mailing address

10 Rock Crusher Ridge Rd
Danese, WV 25831-7182

Other providers in Danese, WV

All providers in Danese, WV · Community Health Worker in West Virginia

Sources for this page

Verify at the official NPI Registry.