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Shannon Burnside

NPI 1245096486 · on the registry since 2024

Practice

Address
109 Bellows Lane
Glen White, WV 25849
Phone
(304) 539-3005

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia