Individual
SAMANTHA B SHAWVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1207 QUARRIER ST, CHARLESTON, WV 25301-1826
(681) 552-2990
Mailing address
1505 MOUNT VERNON RD, CHARLESTON, WV 25314-2533
(681) 552-2990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3010278
KY
363LF0000X
Family Nurse Practitioner
810074
NV
363LF0000X
Family Nurse Practitioner
Primary
APRN90027-FNP-BC
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100519213
—
NV
Enumeration date
01/11/2016
Last updated
08/25/2025
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