Repass, Shirley Elaine

Repass, Shirley Elaine is an individual health care provider with primary practice located at 124 Brookside Lane , Beckley WV 25801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Repass, Shirley Elaine can be contacted via phone (304) 255-9205.

Contact Information

Primary practice address
124 Brookside Lane Beckley WV 25801
Phone: (304) 255-9205
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 32835 West Virginia

Profile Details

NPI number 1811930977
LBN Legal business name Repass, Shirley Elaine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 29th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811930977 NPPES
West Virginia Other P00335546 RAILROAD MEDICARE
West Virginia Other P00335546 RAILROAD MEDICARE
West Virginia MEDICAID 3810003760 RAILROAD MEDICARE

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