Individual
MRS. SARAH SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6475 FARMDALE RD, BARBOURSVILLE, WV 25504-1321
(304) 529-7004
(304) 529-7303
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 529-7004
(304) 529-7303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
17273-NP
OH
363LF0000X
Family Nurse Practitioner
3008967
KY
363LF0000X
Family Nurse Practitioner
Primary
APRN79730
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129469
—
OH
05
—
1033514146
—
WV
05
—
7100387070
—
KY
Enumeration date
10/31/2014
Last updated
04/14/2023
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