Shannon Bell, LPN

Individual provider Active NPI Licensed Practical Nurse · Beaver, WV

NPI 1760132989 · NPPES record last updated Mar 29, 2022

Key facts

NPI
1760132989
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
38220 (WV)
Practice address
175 Philpott LN
Beaver, WV 25813-9501
Phone
(304) 254-9262
NPI assigned
Mar 29, 2022
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

State licenses

LicenseStateTypeSpecialty
38220WVMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 38220 WV Yes

Addresses

Primary practice location

175 Philpott LN
Beaver, WV 25813-9501

Mailing address

175 Philpott LN
Beaver, WV 25813-9501

Other identifiers

IdentifierTypeStateIssuer
38220OtherWVLPN

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Shannon.Miller@ctcprograms.com

Other providers in Beaver, WV

All providers in Beaver, WV · Licensed Practical Nurse in West Virginia

Sources for this page

Verify at the official NPI Registry.