Amber Foreman

Individual provider Active NPI Case Manager/Care Coordinator · Culloden, WV

NPI 1720569601 · NPPES record last updated Aug 28, 2018

Key facts

NPI
1720569601
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2188 Dudding LN
Culloden, WV 25510-9556
Phone
(740) 523-0777
NPI assigned
Aug 28, 2018
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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

2188 Dudding LN
Culloden, WV 25510-9556

Mailing address

2188 Dudding LN
Culloden, WV 25510-9556

Other providers in Culloden, WV

All providers in Culloden, WV · Case Manager/Care Coordinator in West Virginia

Sources for this page

Verify at the official NPI Registry.