IndividualActive
Anthony Decarlo
NPI 1952907453 · Registered Nurse · Charleston, WV
Provider details
- NPI number
- 1952907453
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 48239 (WV)
Specialties & taxonomies
Nursing Service Providers
Practice location
4510 Pennsylvania Ave Ste C
Charleston, WV 25302-4835
Phone: (304) 965-9081
Fax: (304) 346-1860
Approximate (ZIP-level) locationGet directions
Mailing address
248 Burgess Dr
Charleston, WV 25312-8143
Registry dates
- Enumerated
- 2020-12-09
- Last updated
- 2020-12-09
- Certified
- 2020-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.