Paula Louise Ridenour

Individual provider Active NPI Personal Care Attendant · Newburg, WV

NPI 1972114106 · NPPES record last updated Jun 23, 2021

Key facts

NPI
1972114106
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
145 Herrington Ave
Newburg, WV 26410-8907
Phone
(304) 636-9396
NPI assigned
Aug 12, 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
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

145 Herrington Ave
Newburg, WV 26410-8907

Mailing address

145 Herrington Ave
Newburg, WV 26410-8907
Phone (304) 636-9396

Other providers in Newburg, WV

All providers in Newburg, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.