Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN84353-FNP-BC | WV |
NPI | 1346752466 |
---|---|
Provider Name | Ms. Shelby Marie Britton |
First Address | Bridgeport, OH 43912-1308 |
Second Address | Wheeling, WV 26003-6379 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2017 |
Last Update Date | 30/10/2017 |