Search › West Virginia › 363LA2100X
Shane Wilson, AGACNP-BC
NPI 1437624236 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1249 15th St Ste 4000
Huntington, WV 25701 - Phone
- (304) 766-3600
- Organisation at this address
- Marshall Pharmacy Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 193
Additional practice sites
- 1200 J D Anderson Dr, Morgantown, WV
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LG0600X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia