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Individual

MS. SHAWN K CORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
3 E BENJAMIN DR, SUITE B, NEW MARTINSVILLE, WV 26155-2705
(304) 455-8082
(304) 455-8165
Mailing address
3 E BENJAMIN DR, NEW MARTINSVILLE, WV 26155-2705
(304) 455-8082
(304) 455-8165

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
51879
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2327833
OH
05
7105137000
WV
Enumeration date
06/19/2006
Last updated
09/10/2014
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