NPI 1003569559

Angel Lanie McDivitt

Practitioner Personal Care Attendant Clay, WV

Practice location

Address: 172 Main Street, Clay, WV 25043-2504
Phone: (304) 587-4251
Mailing address: PO Box 455, Clay, WV 25043-0455

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

Other Technician providers in West Virginia →

Registry record

NPI: 1003569559
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2022
Record last updated: 3 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.