Cheryl A Tennant
Individual provider Active NPI Personal Care Attendant · Walker, WV
NPI 1992409130 · NPPES record last updated Mar 30, 2023
Key facts
- NPI
- 1992409130
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 662 Devaughn Rd
Walker, WV 26180-5588 - Phone
- (304) 488-2500
- NPI assigned
- Mar 30, 2023
- 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
662 Devaughn Rd
Walker, WV 26180-5588
Mailing address
662 Devaughn Rd
Walker, WV 26180-5588
Phone (304) 488-2500
Other providers in Walker, WV
- Charles D Simmons
- Amanda Smith
- Sara Lee Smith
- Andrea Nicole Snyder
- Rebecca Tanner
- Jesse Treleven
- Clara Elizabeth Vanfossen
- Annemarie Vincent
- Sylvia Webb
- Amber Marie Wells
All providers in Walker, 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 Mar 30, 2023. 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.