Madgelyn Board
Individual provider Active NPI Personal Care Attendant · Spencer, WV
NPI 1962230268 · NPPES record last updated Jul 26, 2024
Key facts
- NPI
- 1962230268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 110 Rustic Acres
Spencer, WV 25276-7846 - Phone
- (304) 377-7979
- NPI assigned
- Jul 26, 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
110 Rustic Acres
Spencer, WV 25276-7846
Mailing address
110 Rustic Acres
Spencer, WV 25276-7846
Other providers in Spencer, WV
- Rachel Kathryn Bennett
- Jessica Lynn Birkley
- Jennifer Renea Blair
- Janice Blake
- Destiny Blosser
- Tiffany Ann Board
- Alyssa Boggs
- Witney Faye Boswell
- Sierra Bowen
- Ryan Marshall Brabham
All providers in Spencer, 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 Jul 26, 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.