Shirley Elaine Repass in Beckley - Nurse Practitioner

Shirley Elaine Repass - NPI 1811930977

Shirley Elaine Repass is a Nurse Practitioner in Beckley, . Shirley Elaine Repass practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Shirley Elaine Repass is 1811930977. The last update date is 2007-11-29.

Shirley Elaine Repass's current location address is 124 Brookside Lane, Beckley, . You can contact this provider via phone number 3042559205. The mailing address for Shirley Elaine Repass is 124 Brookside Lane, Beckley, . To know further, please read the information below!

Provider Profile Detail

Provider Name Shirley Elaine Repass
Address 124 Brookside Lane, Beckley,
Phone Number 3042559205
Fax Number
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1811930977
Provider Enumeration Date 2006-06-14
Last Updated Date 2007-11-29

Provider Mailing Address Detail

Address 124 Brookside Lane
City Beckley
State (WV)
Post Code 25801
Phone Number 3042559205
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 32835
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00335546 WV RAILROAD MEDICARE
P00335546 WV MEDICARE RAILROAD
3810003760 WV --

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FAQs about Shirley Elaine Repass

What is the unique provider identifier assigned to Shirley Elaine Repass?

The Shirley Elaine Repass has been issued the NPI (National Provider Identifier) 1811930977 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Shirley Elaine Repass located?

The Shirley Elaine Repass is located at 124 Brookside Lane, Beckley, WV 25801.

What is Shirley Elaine Repass's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Shirley Elaine Repass's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.

On what date did Shirley Elaine Repass receive its 1811930977 assignment from the Centers for Medicare & Medicaid Services?

The Shirley Elaine Repass was assigned its 1811930977 on 2006-06-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Shirley Elaine Repass, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Shirley Elaine Repass, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-29.

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