MEDICARE: AUTUMN PAIGE SHIRLEY

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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1841143039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUTUMN PAIGE SHIRLEY

Provider Business Mailing Address
First Line	:	2101 WALTON AVE
Second Line	:
City	:	BLUEFIELD
State	:	WV
Zip	:	24701-4443
Country	:	US
Telephone Number	:	276-928-6297
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 WALTON AVE
Second Line	:
City	:	BLUEFIELD
State	:	WV
Zip	:	24701-4443
Country	:	US
Telephone Number	:	276-928-6297
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “ AUTUMN PAIGE SHIRLEY ” Practice Location

Language	Start Address	Practice Location

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