| Ms Sandra Kathryn Shockey, APRN (C/NP) | |
|
800 Grand Central Mall, Suite 11, Vienna, WV 26105-4100 | |
| (304) 916-1270 | |
| (304) 916-1274 |
| Full Name | Ms Sandra Kathryn Shockey |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Ambulatory Care |
| Location | 800 Grand Central Mall, Vienna, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679706469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP2201X | Registered Nurse - Ambulatory Care | 38437 (West Virginia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 38437 (West Virginia) | Secondary |
| Entity Name | Alliance Xpress Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124415799 PECOS PAC ID: 5496063091 Enrollment ID: O20151001000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sandra Kathryn Shockey, APRN (C/NP) 2507 27th St, Parkersburg, WV 26104-2720 Ph: (304) 893-7000 | Ms Sandra Kathryn Shockey, APRN (C/NP) 800 Grand Central Mall, Suite 11, Vienna, WV 26105-4100 Ph: (304) 916-1270 |
Jessica Dawn Lattea, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2200 Grand Central Ave, Vienna, WV 26105 Phone: 304-428-2554 | |
Stephanie Ann Caltrider, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2200 Grand Central Ave Ste 101, Vienna, WV 26105 Phone: 304-428-2554 | |
Alicia Duranti, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2200 Grand Central Ave Ste 101, Vienna, WV 26105 Phone: 304-428-2554 | |
Ann Spade, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2200 Grand Central Ave Ste 101, Vienna, WV 26105 Phone: 304-428-2554 | |
Elizabeth M Allowatt, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 209 58th St, Vienna, WV 26105 Phone: 304-420-9544 Fax: 304-420-9543 | |
Amy L Rake, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2200 Grand Central Ave Ste 101, Vienna, WV 26105 Phone: 304-428-2554 |