Amber Lynn Vantassell
Individual provider Active NPI Personal Care Attendant · Fairview, WV
NPI 1346851466 · NPPES record last updated Jun 23, 2021
Key facts
- NPI
- 1346851466
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 97 Miracle Run Rd
Fairview, WV 26570-6049 - Phone
- (304) 291-3345
- NPI assigned
- Aug 12, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
97 Miracle Run Rd
Fairview, WV 26570-6049
Mailing address
97 Miracle Run Rd
Fairview, WV 26570-6049
Phone (304) 291-3345
Other providers in Fairview, WV
- Danielle Nicole Robbins
- Taneka Rush
- Victoria Lynn Spitznogle
- Treena Stout
- Debra Toothman
- Grace Anna Wajler
- Matthew Ryan Wood
- Delores Wycoff
All providers in Fairview, 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 Jun 23, 2021. 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.