Individual
SHANE CHARLES RITCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-BC
Contact information
Practice address
3 HEALTHCARE DR, PHILIPPI, WV 26416-9405
(304) 457-1760
(304) 457-1516
Mailing address
3 HEALTHCARE DR, PHILIPPI, WV 26416-9405
(304) 457-1760
(304) 457-1516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
83496
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83496
WV RN LICENSE
WV
Enumeration date
08/24/2020
Last updated
11/28/2022
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