Individual provider · Type 1 NPI

Etta Wyant

Personal Care Attendant · Charleston, WV

NPI number 1417826405 Active

Practice location

4510 Pennsylvania Ave Ste C
Charleston, WV 25302-4835

Call (304) 965-9081 Map

Fax (304) 471-2488

Mailing address

PO Box 135
Montgomery, WV 25136-0135

Specialties and licenses

Taxonomy	Code	License
Personal Care Attendant Primary	3747P1801X	None listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1417826405

Etta Wyant's National Provider Identifier is 1417826405, issued on Oct 30, 2025. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Charleston, WV. The record was last updated on Nov 26, 2025.