Individual
MS. SANDRA KATHRYN SHOCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN (C/NP)
Contact information
Practice address
800 GRAND CENTRAL MALL, SUITE 11, VIENNA, WV 26105-4100
(304) 916-1270
(304) 916-1274
Mailing address
2507 27TH ST, PARKERSBURG, WV 26104-2720
(304) 893-7000
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
38437
WV
363LF0000X
Family Nurse Practitioner
38437
WV
Other
Enumeration date
08/27/2009
Last updated
01/22/2019
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