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Individual
WILLIAM SHREWSBERRY
Active
Individual
WILLIAM SHREWSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
35607
WV
367H00000X
Anesthesiologist Assistant
39835
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065384000
—
WV
05
—
1235155201
—
VA
Enumeration date
07/14/2006
Last updated
11/29/2007
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