CANDRA FOWLKES
NPI 1053205955
Home Health Aide in Beckley, WV
Active since June 05, 2025
About Candra Fowlkes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANDRA FOWLKES (NPI 1053205955) is an individual home health aide in Beckley, West Virginia and active in the NPI registry since June 2025.
NPPES Registry Identity
NPI1053205955
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameCANDRA FOWLKES
Location Address301 MANKIN AVEBeckley, WV 25801-4166
Mailing Address301 Mankin AveBeckley, WV 25801-4166
Phone(252) 305-7185
Sole ProprietorYes
Enumeration DateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1053205955 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
301 MANKIN AVE, Beckley, WV 25801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053205955, enumerated as an "individual" on June 05, 2025.
The provider is located at 301 MANKIN AVE BECKLEY, WV 25801 and the phone number is (252) 305-7185.
Home Health Aide with taxonomy code 374U00000X.
