Individual
TEMIA GAIL SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
900 VIRGINIA ST E STE 400, CHARLESTON, WV 25301-2835
(681) 313-4759
(844) 800-3954
Mailing address
900 VIRGINIA ST E STE 400, CHARLESTON, WV 25301-2835
(681) 313-4759
(844) 800-3954
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
67089
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487758710
—
WV
Enumeration date
12/29/2022
Last updated
12/29/2022
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