Individual
STEPHANIE SHAMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN FNP-BC.
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1398
(304) 766-3600
Mailing address
404 BUCKINGHAM POINTE, SOUTH CHARLESTON, WV 25309-8270
(304) 415-1147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104520
WV
Other
Enumeration date
05/08/2020
Last updated
09/23/2024
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