Shannon Leigh Medaris, DNP-FNP
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Shepherdstown, WV
NPI 1649044181 · NPPES record last updated Nov 14, 2023
Key facts
- NPI
- 1649044181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 318 Leisure Way
Shepherdstown, WV 25443-4169 - Phone
- (304) 886-8330
- NPI assigned
- Nov 14, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
318 Leisure Way
Shepherdstown, WV 25443-4169
Mailing address
318 Leisure Way
Shepherdstown, WV 25443-4169
Phone (304) 886-8330
Other providers in Shepherdstown, WV
- Kristinia Maciunas
- Mildred Mason
- Florencia May
- Kendra McKinney
- Caroline Clagett McLeod
- Karen Loncher Mennett
- Michael Monsma LLC
- Tyler Jason Michael
- Lisa Miles
- David Vernon Miljour
All providers in Shepherdstown, WV · Student in an Organized Health Care Education/Training Program in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.