Search › West Virginia › Medical Physician Assistant
Shane Wriston, PA-C
NPI 1609277201 · on the registry since 2014
Practice
- Address
- 797 Clinic Dr
Ivydale, WV 25113 - Phone
- (304) 286-4200
- Fax
- (304) 286-2107
- Organisation at this address
- Community Care Of West Virginia, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-31
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