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Andrea Marie Nottingham

Technician, Personal Care Attendant in Buckhannon, WV. Individual provider (NPI-1).

NPI number1295323301
StatusActive
Last updated in NPPESJan 5, 2021

Details

NPI
1295323301
Entity type
Individual (NPI-1)
Name
Andrea Marie Nottingham
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 5, 2021
Certification date
Jan 5, 2021
Last updated
Jan 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

150 Old Chimney Rd
Buckhannon, WV 26201-6529

Phone 304-613-2104

Mailing address

150 Old Chimney Rd
Buckhannon, WV 26201-6529

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