Provider Demographics
NPI:1912593583
Name:ARMENTROUT, NANCY
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:ARMENTROUT
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 1:35 ELSTON LANE
Mailing Address - Street 2:
Mailing Address - City:COMFORT
Mailing Address - State:WV
Mailing Address - Zip Code:25049
Mailing Address - Country:US
Mailing Address - Phone:304-837-7581
Mailing Address - Fax:
Practice Address - Street 1:35 ELSTON LANE
Practice Address - Street 2:
Practice Address - City:COMFORT
Practice Address - State:WV
Practice Address - Zip Code:25049
Practice Address - Country:US
Practice Address - Phone:304-837-7581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant