Individual
SHANNON R BASHLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC
Contact information
Practice address
1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
(304) 645-3220
(844) 479-4545
Mailing address
1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
(304) 645-3220
(844) 479-4545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
55993
WV
363LF0000X
Family Nurse Practitioner
WV55993
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004842
—
WV
Enumeration date
06/22/2006
Last updated
04/01/2020
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