IndividualActive
Amanda Pheasant
NPI 1649140567 · Homemaker · Fairmont, WV
Provider details
- NPI number
- 1649140567
- Entity type
- Individual
- Primary specialty
- HomemakerNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
503 Morgantown Ave Ste 120
Fairmont, WV 26554-4384
Phone: (304) 363-7375
Fax: (304) 471-2488
Approximate (ZIP-level) locationGet directions
Mailing address
204 Holbert Ave
Fairmont, WV 26554-3222
Registry dates
- Enumerated
- 2025-11-06
- Last updated
- 2025-11-06
- Certified
- 2025-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.