Sirena Hannah

Individual provider Active NPI Community Health Worker · Lester, WV

NPI 1356934285 · NPPES record last updated Feb 11, 2021

Key facts

NPI
1356934285
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
646 Rock House Rd
Lester, WV 25865-9692
Phone
(304) 934-6226
NPI assigned
Feb 11, 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

646 Rock House Rd
Lester, WV 25865-9692

Mailing address

PO Box 344
Fairdale, WV 25839-0344

Other providers in Lester, WV

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

Sources for this page

Verify at the official NPI Registry.