Provider Demographics
NPI:1871326512
Name:PRICE, NADIR ANTHONY
Entity type:Individual
Prefix:
First Name:NADIR
Middle Name:ANTHONY
Last Name:PRICE
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 1:104 HUNT AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25302-1123
Mailing Address - Country:US
Mailing Address - Phone:304-982-2745
Mailing Address - Fax:
Practice Address - Street 1:104 HUNT AVE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25302-1123
Practice Address - Country:US
Practice Address - Phone:304-982-2745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant