MEDICARE: CARRIE ANDREA PAITH

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	163WS0200X	School Registered Nurse	86032	WV

General Provider Information

NPI Number	:	1912640921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE ANDREA PAITH

Provider Business Mailing Address
First Line	:	3538 LONG DRAIN RD
Second Line	:
City	:	METZ
State	:	WV
Zip	:	26585-6423
Country	:	US
Telephone Number	:	304-775-4221
Fax Number	:

Provider Business Practice Location Address
First Line	:	3538 LONG DRAIN RD
Second Line	:
City	:	METZ
State	:	WV
Zip	:	26585-6423
Country	:	US
Telephone Number	:	304-775-4221
Fax Number	:

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

Provider Enumeration Date	:	04/18/2022
Last Update Date	:	04/18/2022

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Directions to “ CARRIE ANDREA PAITH ” Practice Location

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