Doctor Name: | MRS. KELLY SHAWN VEROSKI |
NPI Number: | 1043404460 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C-FNP |
License Number: | 49293 |
Business Practice Address: | 211 6th St Parkersburg, WV - 261015113 |
Business Phone Number: | 3044857374 |
Business Fax Number: | |
Mailing Address: | 1001 Simpson Pl, POINT PLEASANT |
State: | WV |
Postal Code: | 255501626 |
Phone Number: | 3046756880 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 08/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 49293 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |