Lookup NPI Numbers from the NPI Registry
NPI Profile for SHANE D WILSON in HUNTINGTON, WV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI # | 1437624236 |
|
| Status | Active | |
| Credentials | AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 10/08/2018 | |
| Last updated | 10/30/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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SHANE D WILSON
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SHANE D WILSON, AGACNP-BC