SHAWN BLANKENSHIP

HOLISTIC INC

Dr SHAWN BLANKENSHIP is a male medical professional, specializing in Nurse Practitioner. He graduated in 2015.

Contact

HOLISTIC INC

303 6TH AVE
SAINT ALBANS
WV
251772838

Tel: 3042021910

SHAWN BLANKENSHIP Information

Npi 1851744437
Pac Id 5496035248
Professional Enrollment Id I20161213001734
Last Name BLANKENSHIP
First Name SHAWN
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HOLISTIC INC
Group Practice Pac Id 6709140320
Number Of Group Practice Members 2
Line 1 Street Address 303 6TH AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAINT ALBANS
State WV
Zip Code 251772838
Phone Number 3042021910
Hospital Affiliation Ccn 1 510022
Hospital Affiliation Lbn 1 CHARLESTON AREA MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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