Search › West Virginia › 363L00000X
Shauna Wise
NPI 1356086748 · on the registry since 2022
Practice
- Address
- 156 Thistle St
Princeton, WV 24739 - Phone
- (304) 952-0302
Additional practice sites
- 2311 Wilson Blvd Fl 3, Arlington, VA
- 3214 Charles B Root Wynd Ste 203, Raleigh, NC
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363L00000X
363LF0000X - Licence states on file
- NC, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-24
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