Individual
MISTI DAWN SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
8591 HOLLY MEADOWS RD, SAINT GEORGE, WV 26287-8604
(304) 478-3339
Mailing address
8591 HOLLY MEADOWS RD, SAINT GEORGE, WV 26287-8604
(304) 478-3339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN57107-NP-C
WV
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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