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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE DAVID WILSON, AGACNP-BC

Active Sole Proprietor

SHANE DAVID WILSON, AGACNP-BC is a Acute Care Nurse Practitioner healthcare provider located in HUNTINGTON, West Virginia. NPI 1437624236 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · HUNTINGTON, WV

Registration Details

NPI Number
1437624236
Provider Type
Individual
Gender
Male
NPI Issued
Oct 8, 2018 (7.8051997421661 yrs)
Last Updated
Oct 30, 2020
Licenses
63040 (WV)
63040 (WV)
Sole Proprietor
Yes

Practice Information

Address
1249 15TH ST STE 4000
HUNTINGTON, WV, 257013663
Browse WV providers · Browse ZIP 25701
Phone
3047663600
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Additional Specialty
Acute Care Nurse Practitioner

Other Acute Care Nurse Practitioner Providers in HUNTINGTON, WV

Name Credential NPI
ERIC L. PING ACNP 1003832973
JEFFREY LEE ROWE ACNP 1285703108
MRS. SUZANNE M SPOONER CRNFA, AGACNP-BC 1568688299
STEPHEN SCOTT METHENY 1922397074
ASHLEY SUE DENNING FNP-BC 1366896649
JESSICA PAIGE SPARKS MSN, APRN, AGACNP-BC 1306302468
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.