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DESIRRA FANNIN
NPI 1982322061
Technician - Personal Care Attendant in Petersburg, WV

Active since August 16, 2022
25 AT EASE LN, PETERSBURG, WV 26847(681) 268-4258 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Desirra Fannin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIRRA FANNIN (NPI 1982322061) is an individual personal care attendant in Petersburg, West Virginia and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1982322061
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameDESIRRA FANNIN
Location Address25 AT EASE LNPetersburg, WV 26847-8714
Mailing Address10 Maple Hill Ave Ste 5Petersburg, WV 26847-1590 · (304) 250-4545
Phone(681) 268-4258
Sole ProprietorYes
Enumeration DateAugust 16, 2022
NPPES CertifiedAugust 16, 2022
✔ NPI 1982322061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

25 AT EASE LN, Petersburg, WV 26847
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREEONA WALKER
Technician (Personal Care Attendant)
25 AT EASE LN
PETERSBURG, WV 26847
Grant County (740) 764-3140

Frequently Asked Questions

What is Desirra Fannin's NPI number?

The NPI number assigned to this healthcare provider is 1982322061, enumerated as an "individual" on August 16, 2022.

Where is the provider located?

The provider is located at 25 AT EASE LN PETERSBURG, WV 26847 and the phone number is (681) 268-4258.

What is the provider's specialty?

Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.