Ashley Bragg

Individual provider Active NPI Case Manager/Care Coordinator · Beaver, WV

NPI 1942801014 · NPPES record last updated Nov 5, 2020

Key facts

NPI
1942801014
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
259 Maplewood LN
Beaver, WV 25813-9341
Phone
(304) 575-9480
NPI assigned
Nov 5, 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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

259 Maplewood LN
Beaver, WV 25813-9341

Mailing address

259 Maplewood LN
Beaver, WV 25813-9341
Phone (304) 575-9480

Other identifiers

IdentifierTypeStateIssuer
F324925OtherWVDRIVERS LICENSE NUMBER

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address abragg@paiswv.com Direct

Other providers in Beaver, WV

All providers in Beaver, WV · Case Manager/Care Coordinator in West Virginia

Sources for this page

Verify at the official NPI Registry.