Tasha Boswell
Individual provider Active NPI Community Health Worker · Princeton, WV
NPI 1780277673 · NPPES record last updated Feb 11, 2021
Key facts
- NPI
- 1780277673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 311 Tumbleweed St
Princeton, WV 24740-2118 - Phone
- (304) 952-7872
- NPI assigned
- Feb 11, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
311 Tumbleweed St
Princeton, WV 24740-2118
Mailing address
311 Tumbleweed St
Princeton, WV 24740-2118
Phone (304) 952-7872
Other providers in Princeton, WV
- Patricia Bolen
- Josiah Bolyard
- Jordyn Boone
- Tina Renee Borich
- Justice Boswell
- Melissa Joy Bourne
- Donald Eugene Bowen Jr.
- Erika Dawn Bowling
- Gena Bowling
- James Bowling
All providers in Princeton, WV · Community Health Worker in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2021. 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.