Provider Demographics
NPI:1790666584
Name:VALLEY ASTHMA & ALLERGY LLC
Entity type:Organization
Organization Name:VALLEY ASTHMA & ALLERGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:E
Authorized Official - Last Name:CRUMMITT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:304-488-6813
Mailing Address - Street 1:1021 MOUNT DECHANTAL ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-9454
Mailing Address - Country:US
Mailing Address - Phone:304-234-8912
Mailing Address - Fax:304-234-8218
Practice Address - Street 1:1021 MOUNT DECHANTAL ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-9454
Practice Address - Country:US
Practice Address - Phone:304-234-8912
Practice Address - Fax:304-234-8218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0147360Medicaid
WV3810029356Medicaid