Individual
SHELLY L FIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1070
(304) 831-1071
Mailing address
10 BRUSHY KNOB WAY, CHARLESTON, WV 25309-8568
(304) 546-3896
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN77534-NP-C
WV
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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