Ruth Mullens
Individual provider Active NPI Community Health Worker · Canvas, WV
NPI 1568048619 · NPPES record last updated Mar 19, 2021
Key facts
- NPI
- 1568048619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 74 Nevada Street
Canvas, WV 26667 - Phone
- (304) 872-0548
- NPI assigned
- Mar 19, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
74 Nevada Street
Canvas, WV 26667
Mailing address
PO Box 271
Mount Lookout, WV 26678-0271
Other providers in Canvas, WV
- Vicky L Cole
- Aaron Michael Evans
- Vanessa Landis
- Makit Anesthesia Inc
- Joseph Edward Morris
- Brenda Mae Skaggs
- Annette Taylor
- Debra Charlene Taylor
- Miranda Thomas
- Caroline Tinnel
All providers in Canvas, WV · Community Health Worker 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 Mar 19, 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.