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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Sole Proprietor

Community Health Worker · CHARLESTON, WV

Registration Details

NPI Number
1144812637
Provider Type
Individual
Gender
Female
NPI Issued
Feb 7, 2021 (5.2011398316338 yrs)
Last Updated
Feb 7, 2021
Sole Proprietor
Yes

Practice Information

Address
5508 AMPERE DR
CHARLESTON, WV, 253131302
Browse WV providers · Browse ZIP 25313
Phone
3043897048
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in CHARLESTON, WV

Name Credential NPI
JEANNIE LATICIA STEWART 1194045435
MORGAN LEGG 1225620545
TIFFANY CLARK 1942892252
AMANDA SPURLOCK 1104418581
TY SHAWN BERKLEY 1700478948
CHASITY DEPTA 1194317206
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.