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NPI Code Detail

MEDICARE: CLARISSA SEVERE

MEDICARE: CLARISSA SEVERE
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 : 1245167956
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARISSA SEVERE
Provider Business Mailing Address
First Line : 1782 ELKHORN RD
Second Line :
City : PETERSBURG
State : WV
Zip : 26847-8716
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12 MAPLE HILL AVE STE 1
Second Line :
City : PETERSBURG
State : WV
Zip : 26847-1547
Country : US
Telephone Number : 304-242-8404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “ CLARISSA SEVERE ” 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.

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