Provider Demographics
NPI:1912640921
Name:PAITH, CARRIE ANDREA
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANDREA
Last Name:PAITH
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 1:3538 LONG DRAIN RD
Mailing Address - Street 2:
Mailing Address - City:METZ
Mailing Address - State:WV
Mailing Address - Zip Code:26585-6423
Mailing Address - Country:US
Mailing Address - Phone:304-775-4221
Mailing Address - Fax:
Practice Address - Street 1:3538 LONG DRAIN RD
Practice Address - Street 2:
Practice Address - City:METZ
Practice Address - State:WV
Practice Address - Zip Code:26585-6423
Practice Address - Country:US
Practice Address - Phone:304-775-4221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV86032163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool