Individual
MRS. JANEILLE SUE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9247 STUDENT HEALTH SERVICE, ROBERT C. BYRD HEALTH SCIENCES CENTER, MORGANTOWN, WV 26506-9247
(304) 293-2311
(304) 293-2713
Mailing address
PO BOX 9247, ONE MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506-9247
(304) 293-2311
(304) 293-2713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24968
WV
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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