Provider Demographics
NPI:1508580267
Name:WOLFINGBARGER, DEBBIE (RN)
Entity Type:Individual
Prefix:MISS
First Name:DEBBIE
Middle Name:
Last Name:WOLFINGBARGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:212 MASON LN
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:WV
Mailing Address - Zip Code:25177-9702
Mailing Address - Country:US
Mailing Address - Phone:304-549-3404
Mailing Address - Fax:304-757-0522
Practice Address - Street 1:300B PRESTIGE PARK DR
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-8419
Practice Address - Country:US
Practice Address - Phone:304-202-3864
Practice Address - Fax:304-757-0522
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health