Provider Demographics
NPI:1649882242
Name:MEADOWS, CARMA JANE
Entity type:Individual
Prefix:
First Name:CARMA
Middle Name:JANE
Last Name:MEADOWS
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 1:28 ASTRO DR
Mailing Address - Street 2:
Mailing Address - City:CLENDENIN
Mailing Address - State:WV
Mailing Address - Zip Code:25045-6203
Mailing Address - Country:US
Mailing Address - Phone:304-533-8710
Mailing Address - Fax:
Practice Address - Street 1:28 ASTRO DR
Practice Address - Street 2:
Practice Address - City:CLENDENIN
Practice Address - State:WV
Practice Address - Zip Code:25045-6203
Practice Address - Country:US
Practice Address - Phone:304-533-8710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant