Shane David Wilson, AGACNP-BC is an acute care nurse practitioner in Huntington, WV. Shane David Wilson, AGACNP-BC NPI is 1437624236. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1249 15TH ST STE 4000
HUNTINGTON, WV
ZIP 25701-663
Phone: (304) 766-3600
The NPI 1437624236 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/8/2018 and was last updated on 10/30/2020.