Provider Demographics
NPI:1740975630
Name:PAYNTER, DELMA
Entity type:Individual
Prefix:
First Name:DELMA
Middle Name:
Last Name:PAYNTER
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 1:3985 HUFF CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CYCLONE
Mailing Address - State:WV
Mailing Address - Zip Code:24827-9522
Mailing Address - Country:US
Mailing Address - Phone:304-890-6139
Mailing Address - Fax:
Practice Address - Street 1:3985 HUFF CREEK RD
Practice Address - Street 2:
Practice Address - City:CYCLONE
Practice Address - State:WV
Practice Address - Zip Code:24827-9522
Practice Address - Country:US
Practice Address - Phone:304-890-6139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant