Provider Demographics
NPI:1568280725
Name:WARD, EMILY RENEE
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:RENEE
Last Name:WARD
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 1:3074 BARGER SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:WV
Mailing Address - Zip Code:24935-7482
Mailing Address - Country:US
Mailing Address - Phone:304-890-8974
Mailing Address - Fax:
Practice Address - Street 1:3074 BARGER SPRINGS RD
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:WV
Practice Address - Zip Code:24935-7482
Practice Address - Country:US
Practice Address - Phone:304-890-8974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant