Healthcare Provider Details

I. General information

NPI: 1104757004
Provider Name (Legal Business Name): HALEY LYNN PETHTEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 9TH ST STE D
VIENNA WV
26105-2176
US

IV. Provider business mailing address

114 ROSEMAR TER APT 208
PARKERSBURG WV
26105-8307
US

V. Phone/Fax

Practice location:
  • Phone: 304-428-6148
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberG287810
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: