Provider / Organization | NPI | Date Certified |
---|---|---|
CORTNIE SHEA SHORT | 1477289429 | 2022-07-30 |
Cortnie Shea Short is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1477289429. Registration indicates Cortnie Shea Short is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
Entity Type | Individual |
Provider Name | Cortnie Shea Short RN |
Practice Office Address | 332 6TH AVE CHARLESTON, WV US |
Practice Office Telephone | 3043482680 |
Mailing Address | 332 6TH AVE CHARLESTON, WV 253031269 US |
Code | Practice | License No State |
---|---|---|
163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 107361
WV |