LEEANNA NICOLE DOLL RN
NPI 1689391542
Registered Nurse - Home Health in Clarksburg, WV
Active since October 21, 2022
About Leeanna Nicole Doll Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEEANNA NICOLE DOLL RN (NPI 1689391542) is an individual home health provider in Clarksburg, West Virginia, licensed in West Virginia (83332) and active in the NPI registry since October 2022.
NPPES Registry Identity
NPI1689391542
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameLEEANNA NICOLE DOLLCredential: RN
Location Address2673 DAVISSON RUN RDClarksburg, WV 26301-6838
Mailing Address2673 Davisson Run RdClarksburg, WV 26301-6838 · (681) 342-3200 · Fax (304) 622-9458
Phone(681) 342-3200
Sole ProprietorNo
Enumeration DateOctober 21, 2022
NPPES CertifiedOctober 21, 2022
✔ NPI 1689391542 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License✔ Licensed in WV · 83332
2673 DAVISSON RUN RD, Clarksburg, WV 26301
Other Names 1
Former Name (1)Leeanna Nicole Mayle Rn
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689391542, enumerated as an "individual" on October 21, 2022.
The provider is located at 2673 DAVISSON RUN RD CLARKSBURG, WV 26301 and the phone number is (681) 342-3200.
Registered Nurse with taxonomy code 163WH0200X and a focus in Home Health.