Autumn Nicole Shrader
Technician, Personal Care Attendant in Charleston, WV. Individual provider (NPI-1).
NPI number1083320105
StatusActive
Last updated in NPPESJan 25, 2023
Details
- NPI
- 1083320105
- Entity type
- Individual (NPI-1)
- Name
- Autumn Nicole Shrader
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2023
- Certification date
- Jan 25, 2023
- Last updated
- Jan 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
5187 Kellys Creek RdCharleston, WV 25312-6843
Phone 304-590-6313
Mailing address
5187 Kellys Creek RdCharleston, WV 25312-6843
Phone 304-590-6313
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All 2,938 Personal Care Attendant providers in Charleston · All 9,831 providers in Charleston
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