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NPI Code Detail

MEDICARE: SHANDA RENE BIGGLES

MEDICARE: SHANDA RENE BIGGLES
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1528913936
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANDA RENE BIGGLES
Provider Business Mailing Address
First Line : 27 MIDWAY LOOP
Second Line :
City : ELKINS
State : WV
Zip : 26241-1373
Country : US
Telephone Number : 304-636-5252
Fax Number : 304-591-4521
Provider Business Practice Location Address
First Line : 27 MIDWAY LOOP
Second Line :
City : ELKINS
State : WV
Zip : 26241-1373
Country : US
Telephone Number : 304-636-5252
Fax Number : 304-591-4521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ SHANDA RENE BIGGLES ” Practice Location

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