Provider Demographics
NPI:1386410009
Name:SALSER, SHELLEY LYNN
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:LYNN
Last Name:SALSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:478 MCCALL RD
Mailing Address - Street 2:
Mailing Address - City:JANE LEW
Mailing Address - State:WV
Mailing Address - Zip Code:26378-8059
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2828 OLD ROUTE 33
Practice Address - Street 2:
Practice Address - City:HORNER
Practice Address - State:WV
Practice Address - Zip Code:26372-9705
Practice Address - Country:US
Practice Address - Phone:304-269-4556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV35888164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse