Individual
WILLIAM SHREWSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
454 MCDOWELL ST, WELCH, WV 24801-2029
(304) 436-8461
Mailing address
PO BOX 634712, CINCINNATI, OH 45263-0001
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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