Mikayla Adams
Individual provider Active NPI Homemaker · Logan, WV
NPI 1770189920 · NPPES record last updated Dec 11, 2020
Key facts
- NPI
- 1770189920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 699 Stratton St
Logan, WV 25601-4020 - Phone
- (304) 752-6868
- Fax
- (304) 752-1047
- NPI assigned
- Dec 11, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | WV | Yes |
Addresses
Primary practice location
699 Stratton St
Logan, WV 25601-4020
Mailing address
PO Box 1346
Logan, WV 25601-1346
Phone (304) 752-6868
Other providers in Logan, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2020. 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.