Healthcare Provider Details

I. General information

NPI: 1578500351
Provider Name (Legal Business Name): LINDA J SHELEK RNC, MSN, CFNP, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA J SHELEK RNC, MSN, CFNP, WHNP

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 02/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 MEDICAL PARK SUITE 221
WHEELING WV
26003-6391
US

IV. Provider business mailing address

30 MEDICAL PARK SUITE 221
WHEELING WV
26003-6391
US

V. Phone/Fax

Practice location:
  • Phone: 304-242-0588
  • Fax:
Mailing address:
  • Phone: 304-242-1491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number30629
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: