Provider Demographics
NPI:1417710757
Name:PRICE, DANNY WAYNE
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:WAYNE
Last Name:PRICE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MESSINGER LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-2249
Mailing Address - Country:US
Mailing Address - Phone:304-543-0541
Mailing Address - Fax:
Practice Address - Street 1:1 MESSINGER LN
Practice Address - Street 2:
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-2249
Practice Address - Country:US
Practice Address - Phone:304-543-0541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-31
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant