Clarissa Michelle Adkins
Individual provider Active NPI Personal Care Attendant · Wallace, WV
NPI 1609450394 · NPPES record last updated May 8, 2021
Key facts
- NPI
- 1609450394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 208 Camp Run Rd
Wallace, WV 26448-8558 - Phone
- (304) 669-2263
- NPI assigned
- May 8, 2021
- 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
208 Camp Run Rd
Wallace, WV 26448-8558
Mailing address
208 Camp Run Rd
Wallace, WV 26448-8558
Phone (304) 669-2263
Other providers in Wallace, WV
All providers in Wallace, 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 May 8, 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.