Basic Information
Provider Information
NPI: 1346752466
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRITTON
FirstName: SHELBY
MiddleName: MARIE
NamePrefix: MS.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 502 MAIN ST
Address2:  
City: BRIDGEPORT
State: OH
PostalCode: 439121308
CountryCode: US
TelephoneNumber: 7403123551
FaxNumber:  
Practice Location
Address1: 1 MEDICAL PARK
Address2:  
City: WHEELING
State: WV
PostalCode: 260036379
CountryCode: US
TelephoneNumber: 3042433000
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/30/2017
LastUpdateDate: 10/30/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LC0200XAPRN84353-FNP-BCWVY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine

No ID Information.


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