Individual
TOSHUA DAINELLE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HIGHLANDER DR, UPPERGLADE, WV 26266-9400
(304) 226-3993
Mailing address
1 HIGHLANDER DR, UPPERGLADE, WV 26266-9400
(304) 226-3993
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
105090
WV
Other
Enumeration date
01/21/2020
Last updated
10/27/2023
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