Individual
AMANDA SHELBURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1508 3RD AVE E, BIG STONE GAP, VA 24219-3114
(276) 523-0599
Mailing address
1508 3RD AVE E, BIG STONE GAP, VA 24219-3114
(276) 523-0599
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024189520
VA
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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