Provider Demographics
NPI:1366330243
Name:AURENTZ, JAMES W
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:AURENTZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2954 GRANDVIEW RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:WV
Mailing Address - Zip Code:25813-9330
Mailing Address - Country:US
Mailing Address - Phone:304-923-9498
Mailing Address - Fax:
Practice Address - Street 1:2954 GRANDVIEW RD
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:WV
Practice Address - Zip Code:25813-9330
Practice Address - Country:US
Practice Address - Phone:304-923-9498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant