NPI 1033962634
Tara Jane Mick
Practice location
- Address
- 28 N Kanawha St, Buckhannon, WV 26201-2714
- Phone
- (304) 472-0528
- Mailing address
- 2259 Hackers Creek Rd, Buckhannon, WV 26201-6139
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1033962634
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Apr 2024
- Record last updated
- 11 Apr 2024
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.