Healthcare Provider Details

I. General information

NPI: 1609782135
Provider Name (Legal Business Name): MORGAN PAIGE SPICER CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4035 ELECTRIC RD STE A
ROANOKE VA
24018-8449
US

IV. Provider business mailing address

99 VINTAGE CIR
ROCKY MOUNT VA
24151-2762
US

V. Phone/Fax

Practice location:
  • Phone: 540-772-8670
  • Fax:
Mailing address:
  • Phone: 540-772-8670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number1401210371
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: