Holly Conrad
Individual provider Active NPI Personal Care Attendant · Mount Nebo, WV
NPI 1942951165 · NPPES record last updated Jan 11, 2022
Key facts
- NPI
- 1942951165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 785 Summersville Lake Rd
Mount Nebo, WV 26679-9203 - Phone
- (304) 883-2334
- NPI assigned
- Jan 11, 2022
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
785 Summersville Lake Rd
Mount Nebo, WV 26679-9203
Mailing address
PO Box 569
Mount Nebo, WV 26679-0569
Phone (304) 883-2334
Other providers in Mount Nebo, WV
- Dallas Cole
- Mary Collins
- Ursula Collins
- Kathy Connelly
- Erica Conrad
- Linda Conrad
- Gary Critchley
- Erica Sue Crites
- Hayley A Crites
- Shyteesha Crites
All providers in Mount Nebo, 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 Jan 11, 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.