Individual provider · Type 1 NPI
Laura J. Shade, NP
Neonatal Nurse Practitioner · Wheeling, WV
NPI number
1083915201
Active
Practice location
Wheeling Hospital, 1 Medical Park
Wheeling, WV 26003
Fax (304) 243-3060
Mailing address
PO Box 1026
Indianapolis, IN 46206-1026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 28193093 (IN) |
| Neonatal Nurse Practitioner Primary | 363LN0000X | 71004167 (IN) |
Neonatal Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1083915201
Laura J. Shade, NP's National Provider Identifier is 1083915201, issued on Nov 4, 2010. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Wheeling, WV. The record was last updated on Sep 16, 2024.