Dagnya White

Individual provider Active NPI Community Health Worker · Lesage, WV

NPI 1497340202 · NPPES record last updated Mar 3, 2021

Key facts

NPI
1497340202
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
8833 Union Ridge Road
Lesage, WV 25537
Phone
(304) 762-2041
NPI assigned
Mar 3, 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

8833 Union Ridge Road
Lesage, WV 25537

Mailing address

8833 Union Ridge Road
Lesage, WV 25537

Other providers in Lesage, WV

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

Sources for this page

Verify at the official NPI Registry.