Josh Blankenship
Individual provider Active NPI Licensed Practical Nurse · Morgantown, WV
NPI 1861129686 · NPPES record last updated Aug 2, 2022
Key facts
- NPI
- 1861129686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 31275 (WV)
- Practice address
- 1111 Van Voorhis Rd Ste 2
Morgantown, WV 26505-2737 - Phone
- (304) 598-8900
- NPI assigned
- Aug 2, 2022
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31275 | WV | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 31275 | WV | Yes |
Addresses
Primary practice location
1111 Van Voorhis Rd Ste 2
Morgantown, WV 26505-2737
Mailing address
1001 Fritz Cir
Fairmont, WV 26554-1890
Other providers in Morgantown, WV
- Jean Blake
- Lauren Blake
- Morgan Bland
- Matthew Blaney
- Stephanie Joann Blaney
- Kevin J Blankenship
- Valerie Blankenship
- Vincent Blankenship
- David C Blass
- Joseph Robert Blatt
All providers in Morgantown, WV · Licensed Practical Nurse 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 Aug 2, 2022. 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.