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NPI Code Detail

MEDICARE: SHELLEY D ROWAN FNP

MEDICARE: SHELLEY D ROWAN FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner64783WV

General Provider Information

NPI Number : 1154698199
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLEY D ROWAN FNP
Provider Business Mailing Address
First Line : 215 DON KNOTTS BLVD STE 130
Second Line :
City : MORGANTOWN
State : WV
Zip : 26501-6734
Country : US
Telephone Number : 304-322-2080
Fax Number : 304-322-2153
Provider Business Practice Location Address
First Line : 215 DON KNOTTS BLVD STE 130
Second Line :
City : MORGANTOWN
State : WV
Zip : 26501-6734
Country : US
Telephone Number : 304-322-2080
Fax Number : 304-322-2080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2011
Last Update Date : 02/13/2026

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Directions to “ SHELLEY D ROWAN FNP” Practice Location

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