Teekonia Danielle Vincent

Individual provider Active NPI Personal Care Attendant · Independence, WV

NPI 1346980943 · NPPES record last updated Mar 31, 2022

Key facts

NPI
1346980943
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
606 Dave Trickett LN
Independence, WV 26374-8280
Phone
(304) 864-6245
NPI assigned
Mar 31, 2022
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

606 Dave Trickett LN
Independence, WV 26374-8280

Mailing address

606 Dave Trickett LN
Independence, WV 26374-8280
Phone (304) 864-6245

Other providers in Independence, WV

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

Sources for this page

Verify at the official NPI Registry.