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Contact Information

SHAELYN BRAENOVICH
175 PHILPOTT LN
BEAVER, WV25813-9501
 Phone: 304-254-9262
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for SHAELYN BRAENOVICH · (Female)

NPI # 1417653585
Status Active
Credentials
Entity Individual
Enumeration date 02/01/2023
Last updated 09/05/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • WV License # 119461
  • WV License # 39816
  • WV Medicaid 39816
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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