Provider Demographics
NPI:1568278786
Name:VIRDEN, MELINDA KAY
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:KAY
Last Name:VIRDEN
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 1:1006 ROYAL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-4473
Mailing Address - Country:US
Mailing Address - Phone:724-557-7448
Mailing Address - Fax:
Practice Address - Street 1:1006 ROYAL OAKS DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-4473
Practice Address - Country:US
Practice Address - Phone:724-557-7448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant