IndividualActive
Shelby Burruss
NPI 1124860184 · Surgical Assistant · Mount Nebo, WV
Provider details
- NPI number
- 1124860184
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 100272622 (WV)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
759 Summersville Lake Rd
Mount Nebo, WV 26679-9203
Phone: (304) 640-6417
Approximate (ZIP-level) locationGet directions
Mailing address
759 Summersville Lake Rd
Mount Nebo, WV 26679-9203
Registry dates
- Enumerated
- 2024-06-11
- Last updated
- 2024-06-11
- Certified
- 2024-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.