Healthcare Provider Details

I. General information

NPI: 1881205326
Provider Name (Legal Business Name): NINA MARY CRITES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2020
Last Update Date: 07/09/2021
Certification Date: 07/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 2ND ST APT 1B
PIEDMONT WV
26750-1032
US

IV. Provider business mailing address

99 2ND ST APT 1B
PIEDMONT WV
26750-1032
US

V. Phone/Fax

Practice location:
  • Phone: 304-790-4862
  • Fax:
Mailing address:
  • Phone: 304-790-4862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: