Mylena Bigford

Individual provider Active NPI Community Health Worker · Glen Dale, WV

NPI 1760075832 · NPPES record last updated Feb 18, 2021

Key facts

NPI
1760075832
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
610 Washington Ave Apt 12
Glen Dale, WV 26038-1430
Phone
(304) 281-0811
NPI assigned
Feb 18, 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)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

610 Washington Ave Apt 12
Glen Dale, WV 26038-1430

Mailing address

610 Washington Ave Apt 12
Glen Dale, WV 26038-1430
Phone (304) 281-0811

Other providers in Glen Dale, WV

All providers in Glen Dale, WV · Community Health Worker in West Virginia

Sources for this page

Verify at the official NPI Registry.