Provider Demographics
NPI:1184234981
Name:NISBET, PATRICIA SNYDER
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:SNYDER
Last Name:NISBET
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 1:7 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:SCOTT DEPOT
Mailing Address - State:WV
Mailing Address - Zip Code:25560-9762
Mailing Address - Country:US
Mailing Address - Phone:304-550-1534
Mailing Address - Fax:
Practice Address - Street 1:119 SUMMERS ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-2110
Practice Address - Country:US
Practice Address - Phone:681-215-7789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant