Tammy Paulson

Individual provider Active NPI Personal Care Attendant · Fort Gay, WV

NPI 1760089403 · NPPES record last updated Oct 6, 2020

Key facts

NPI
1760089403
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
125 Hayes Dr
Fort Gay, WV 25514-7416
Phone
(304) 544-3873
NPI assigned
Oct 6, 2020
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 WV Yes

Addresses

Primary practice location

125 Hayes Dr
Fort Gay, WV 25514-7416

Mailing address

3609 Hughes St
Huntington, WV 25704-1952
Phone (304) 429-0070

Other providers in Fort Gay, WV

All providers in Fort Gay, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.