Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breonna Marietta

Individual provider Community Health Worker · NPI 1336832120

Breonna Marietta is a Community Health Worker in Charleston, West Virginia. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

200 Association Dr Ste 130
Charleston, WV 25311-1277
Phone: (304) 988-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Association Dr Ste 130, Charleston, WV 25311-1277 — (304) 988-4200

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1336832120
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 30, 2023
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023

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