Cameron Lilly

Individual provider Active NPI Community Health Worker · Winfield, WV

NPI 1831782846 · NPPES record last updated Feb 19, 2021

Key facts

NPI
1831782846
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
393 Oak RDG
Winfield, WV 25213-7619
Phone
(304) 807-3337
NPI assigned
Feb 19, 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

393 Oak RDG
Winfield, WV 25213-7619

Mailing address

393 Oak RDG
Winfield, WV 25213-7619

Other providers in Winfield, WV

All providers in Winfield, WV · Community Health Worker in West Virginia

Sources for this page

Verify at the official NPI Registry.