Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRIVINIA KELLAM HAIRSTON, RN
Active Sole ProprietorTRIVINIA KELLAM HAIRSTON, RN is a In Home Supportive Care Agency healthcare provider located in COLLINSVILLE, Virginia. NPI 1831427541 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · COLLINSVILLE, VA
Registration Details
- NPI Number
- 1831427541
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2009 (16.769886918168 yrs)
- Last Updated
- Nov 19, 2009
- License
-
0001134098 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
375 BEAVER RIDGE RDCOLLINSVILLE, VA, 240783073Browse VA providers · Browse ZIP 24078
- Phone
- 2765471585
- Fax
- 2766471585
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
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.