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Individual

DOUGLAS LEE SHREWSBURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
805 FARSON ST, SUITE 115, BELPRE, OH 45714-1009
(740) 401-1930
(740) 401-1937
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
78818
WV
363L00000X
Nurse Practitioner
Primary
COA15504NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0096026
OH
Enumeration date
06/19/2013
Last updated
03/25/2014
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