NPI 1124860184

Shelby Nicole Burruss

Practitioner Surgical Assistant Mount Nebo, WV

Practice location

Address: 759 Summersville Lake Rd, Mount Nebo, WV 26679-9203
Phone: (304) 640-6417

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 100272622 (WV)

Other Specialist/Technologist, Other providers in West Virginia →

Registry record

NPI: 1124860184
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2024
Record last updated: 11 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.