NPI 1194339556 · live from the CMS NPI Registry
Anna Sampson
Audiologist in Fairmont, WV. National Provider Identifier 1194339556, active.
NPI record
| NPI | 1194339556 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 719 Fairmont Ave Ste 203, Fairmont, WV 26554 |
| Practice phone | 304-366-7314 |
| Mailing address | 2501 Cottontail Ln, Somerset, NJ 08873 |
| Enumerated | September 3, 2020 |
| Last updated | September 3, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | A-0363 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.