Individual
SHANNON LEIGH ANN BARTRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 526-2075
(304) 526-2006
Mailing address
100 PINECREST DR, HUNTINGTON, WV 25705-3436
(304) 523-5184
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
66363
WV
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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