MEDICARE: SUSAN ALEXIS FAIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1326646241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN ALEXIS FAIN

Provider Business Mailing Address
First Line	:	131 SILVER SPRINGS AVE
Second Line	:
City	:	PRINCETON
State	:	WV
Zip	:	24740-2848
Country	:	US
Telephone Number	:	304-922-2457
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 SILVER SPRINGS AVE
Second Line	:
City	:	PRINCETON
State	:	WV
Zip	:	24740-2848
Country	:	US
Telephone Number	:	304-922-2457
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2020
Last Update Date	:	10/13/2020

Similar Medicare Providers

1184567307 — ABIGAIL JESKE
Practice Location Address:

122 12TH ST
PRINCETON, WV
24740-2312

Practice Phone: 304-341-5067
Practice Fax:

1790629434 — LANCE CROTTY LPN
Practice Location Address:

307 N 3RD ST
PRINCETON, WV
24740-3329

Practice Phone: 304-692-2335
Practice Fax:

1205770849 — HEATHER L DAVIS
Practice Location Address:

152 MISTY LN
PRINCETON, WV
24740-6462

Practice Phone: 681-238-6634
Practice Fax:

1487540266 — MEREDITH KAY GWINN
Practice Location Address:

122 12TH ST
PRINCETON, WV
24740-2312

Practice Phone: 304-487-7000
Practice Fax:

1386588473 — ASHLEY GOINS
Practice Location Address:

712 MERCER ST STE D
PRINCETON, WV
24740-3114

Practice Phone: 304-431-2443
Practice Fax:

1104768167 — SARAH LEE POWELL BS,ADC
Practice Location Address:

1345 MERCER ST
PRINCETON, WV
24740-3033

Practice Phone: 304-425-9541
Practice Fax:

Directions to “ SUSAN ALEXIS FAIN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.