Individual provider · Type 1 NPI

Bella Shupp

Medical Physician Assistant · Martinsburg, WV

NPI number 1174455364 Active

Practice location

2000 Foundation Way
Martinsburg, WV 25401-9003

Mailing address

7500 Windmill Rd
Greencastle, PA 17225-9011

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1174455364

Bella Shupp's National Provider Identifier is 1174455364, issued on Jun 1, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Martinsburg, WV. The record was last updated on Jun 1, 2026.