Individual provider · Type 1 NPI

Shane David Wilson, AGACNP-BC

Acute Care Nurse Practitioner · Huntington, WV

NPI number 1437624236 Active

Practice location

1249 15th St Ste 4000
Huntington, WV 25701-3663

Mailing address

201 Parkstone Dr
Fraziers Bottom, WV 25082-6977

Other practice locations

  • 1200 J D Anderson Dr, Morgantown, WV 26505-3494 · (304) 598-1330

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X63040 (WV)
Acute Care Nurse Practitioner Primary 363LA2100X63040 (WV)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1437624236

Shane David Wilson, AGACNP-BC's National Provider Identifier is 1437624236, issued on Oct 8, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Huntington, WV. The record was last updated on Oct 30, 2020.