Provider Demographics
NPI:1033807995
Name:HARPER, ABIGAIL FOREVER
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:FOREVER
Last Name:HARPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:WV
Mailing Address - Zip Code:25276-1740
Mailing Address - Country:US
Mailing Address - Phone:304-377-2665
Mailing Address - Fax:
Practice Address - Street 1:189 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:WV
Practice Address - Zip Code:25276-1740
Practice Address - Country:US
Practice Address - Phone:304-377-2665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant