IndividualActive
Brittany Clark
NPI 1386419752 · Home Health Registered Nurse · Gassaway, WV
Provider details
- NPI number
- 1386419752
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 78975 (WV)
Specialties & taxonomies
Nursing Service Providers
Practice location
64 State St
Gassaway, WV 26624-1132
Phone: (304) 364-1063
Approximate (ZIP-level) locationGet directions
Mailing address
64 State St
Gassaway, WV 26624-1132
Registry dates
- Enumerated
- 2023-11-16
- Last updated
- 2023-11-16
- Certified
- 2023-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.