Provider Demographics
NPI:1710698865
Name:LOVETT, BARBRA ANN
Entity Type:Individual
Prefix:
First Name:BARBRA
Middle Name:ANN
Last Name:LOVETT
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 1:226 RED FOX DR
Mailing Address - Street 2:
Mailing Address - City:HORNER
Mailing Address - State:WV
Mailing Address - Zip Code:26372-1802
Mailing Address - Country:US
Mailing Address - Phone:681-296-8083
Mailing Address - Fax:
Practice Address - Street 1:226 RED FOX DR
Practice Address - Street 2:
Practice Address - City:HORNER
Practice Address - State:WV
Practice Address - Zip Code:26372-1802
Practice Address - Country:US
Practice Address - Phone:681-296-8083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No171M00000XOther Service ProvidersCase Manager/Care Coordinator