Shaelyn Braenovich, is a 
Registered Nurse based in Beaver, West Virginia. Shaelyn Braenovich is licensed to practice in West Virginia (license number 119461) and her current practice location is 
175 Philpott Ln, Beaver, West Virginia. She can be reached at her office (for appointments etc.) via phone at 
(304) 254-9262.
NPI number for Shaelyn Braenovich is 1417653585 and her current mailing address is 175 Philpott Ln, Beaver, West Virginia. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417653585.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Shaelyn Braenovich | 
|---|
| Gender | Female | 
|---|
| Speciality | Registered Nurse | 
|---|
| Location | 175 Philpott Ln, Beaver, West Virginia | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1417653585
 - Provider Enumeration Date: 02/01/2023
 - Last Update Date: 09/05/2024
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Shaelyn Braenovich such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1417653585 | NPI | - | NPPES | 
| 39816 | Medicaid | WV |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 163W00000X | Registered Nurse  | 119461 (West Virginia) | Primary | 
| 164W00000X | Licensed Practical Nurse  | 39816 (West Virginia) | Secondary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaelyn Braenovich is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Shaelyn Braenovich, 175 Philpott Ln, Beaver, WV 25813-9501 Ph: () - | Shaelyn Braenovich, 175 Philpott Ln, Beaver, WV 25813-9501 Ph: (304) 254-9262 | 
		
		 
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