Individual
DONNA JEAN HANSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 2ND ST STE 201, SUTTON, WV 26601-1303
(304) 765-3668
(304) 471-2488
Mailing address
606 N BAXTER ST, SUTTON, WV 26601-1122
(304) 765-3723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
42334
WV
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
12/09/2020
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