Mandy Burns, LPN
Individual provider Active NPI Licensed Practical Nurse · Summersville, WV
NPI 1689440463 · NPPES record last updated Dec 1, 2023
Key facts
- NPI
- 1689440463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 30205 (WV)
- Practice address
- 131 Wellness Dr
Summersville, WV 26651-5402 - Phone
- (304) 799-2480
- NPI assigned
- Dec 1, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30205 | WV | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 30205 | WV | Yes |
Addresses
Primary practice location
131 Wellness Dr
Summersville, WV 26651-5402
Mailing address
131 Wellness Dr
Summersville, WV 26651-5402
Phone (304) 872-6503
Other practice location 1
509 Woodrow Rd
Marlinton, WV 24954-6725
Phone (304) 799-2481
Other providers in Summersville, WV
- Wanda Jane Brown
- Kathy O. Bucks
- McKinley W Burchett
- Sandra Elaine Burdette
- Brooklyn Paige Burford
- Randlph Stephen Burns
- Connie Jean Burr
- Donna Kay Butcher
- Katelyn R Buzzo
- Camden on Gauley Medical Center Inc
All providers in Summersville, WV · Licensed Practical Nurse 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 Dec 1, 2023. 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.