Abigail Jaiden Lerea Pruitt
Individual provider Active NPI Personal Care Attendant · Bradshaw, WV
NPI 1942017157 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1942017157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 53 Nectar Dr Oozley Hollow Rd
Bradshaw, WV 24817 - Phone
- (336) 413-9831
- NPI assigned
- Dec 12, 2024
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
53 Nectar Dr Oozley Hollow Rd
Bradshaw, WV 24817
Mailing address
53 Nectar Dr Oozley Hollow Rd
Bradshaw, WV 24817
Phone (336) 413-9831
Other providers in Bradshaw, WV
- Shannon Nichole Hypes
- Brittany Lester
- Tracey L Lester
- Mahesh B. Patel
- Mahesh B Patel
- Lisa Ann Remines
- Angguna R Rowe
- Tug River Health Association, Inc.
- Tug River Health Association, Inc.
- Cherie L Vance
All providers in Bradshaw, WV · Personal Care Attendant 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 Dec 12, 2024. 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.