NPI 1629852892

Nathaniel Ealy III

Practitioner Community Health Worker Vienna, WV

Practice location

Address: 8 Ashwood Dr, Vienna, WV 26105-3310
Phone: (740) 350-7503

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in West Virginia →

Registry record

NPI: 1629852892
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2023
Record last updated: 21 Aug 2023

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.