Provider Demographics
NPI:1235744236
Name:CLINE, BARBARA ANN (CNA)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:CLINE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:ANN
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 412
Mailing Address - Street 2:
Mailing Address - City:FAIRDALE
Mailing Address - State:WV
Mailing Address - Zip Code:25839-0412
Mailing Address - Country:US
Mailing Address - Phone:304-934-8319
Mailing Address - Fax:
Practice Address - Street 1:130 GEORGE ST
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-2648
Practice Address - Country:US
Practice Address - Phone:304-929-2669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV766443747P1801X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant