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Individual

SHANNON MICHELLE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
58 16TH ST STE 500, WHEELING, WV 26003-3610
(304) 242-7751
(304) 242-7254
Mailing address
58 16TH ST STE 500, WHEELING, WV 26003-3610
(304) 242-7751
(304) 242-7254

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.124346
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040468
NP
OH
01
356464
RN
OH
01
APRN.124346
NP
WV
05
H0056622
OH
Enumeration date
07/17/2025
Last updated
12/01/2025
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