Tina Frost

Individual provider Active NPI Personal Care Attendant · Charleston, WV

NPI 1699347955 · NPPES record last updated Jul 15, 2021

Key facts

NPI
1699347955
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
1599 2ND Ave
Charleston, WV 25387-2514
Phone
(304) 344-0586
NPI assigned
Jul 15, 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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

1599 2ND Ave
Charleston, WV 25387-2514

Mailing address

PO Box 20112
Charleston, WV 25362-1112

Other providers in Charleston, WV

All providers in Charleston, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.