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NPI Code Detail

MEDICARE: ANGELA WINTER VERHAALEN

MEDICARE: ANGELA WINTER VERHAALEN
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1942819206
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA WINTER VERHAALEN
Provider Business Mailing Address
First Line : 195 HENSON RD
Second Line :
City : HURRICANE
State : WV
Zip : 25526-6771
Country : US
Telephone Number : 304-744-1112
Fax Number : 304-744-7910
Provider Business Practice Location Address
First Line : 589 MIDWAY RD
Second Line :
City : ALUM CREEK
State : WV
Zip : 25003-9577
Country : US
Telephone Number : 304-744-1112
Fax Number : 304-744-7910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2020
Last Update Date : 07/23/2020

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Directions to “ ANGELA WINTER VERHAALEN ” Practice Location

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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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