Individual
KATRINA ANN SHIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2869 SENECA TRL S, PETERSTOWN, WV 24963-5037
(304) 753-4336
(304) 753-5146
Mailing address
PO BOX 590, UNION, WV 24983-0590
(304) 772-3065
(304) 772-3296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71558
WV
Other
Enumeration date
07/17/2013
Last updated
01/29/2025
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