Individual
SHELBY BROOKE MCCLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1101
Mailing address
420 ROCKLICK BRANCH RD, CHAPMANVILLE, WV 25508-7766
(304) 687-0024
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123606
WV
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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