Provider Demographics
NPI:1245234228
Name:CLINE-RIGGINS, SHAWN E (CR FNP)
Entity Type:Individual
Prefix:MS
First Name:SHAWN
Middle Name:E
Last Name:CLINE-RIGGINS
Suffix:
Gender:F
Credentials:CR FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 LYNN AVE
Mailing Address - Street 2:
Mailing Address - City:HAMLIN
Mailing Address - State:WV
Mailing Address - Zip Code:25523-1138
Mailing Address - Country:US
Mailing Address - Phone:304-824-5806
Mailing Address - Fax:304-824-5804
Practice Address - Street 1:650 E MCDONALD AVE
Practice Address - Street 2:
Practice Address - City:MAN
Practice Address - State:WV
Practice Address - Zip Code:25635-1023
Practice Address - Country:US
Practice Address - Phone:304-583-8585
Practice Address - Fax:304-583-0129
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV35199363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0033814000Medicaid
WVWV2302CMedicare PIN
WVWV2302AMedicare PIN
WVCL2033201Medicare PIN
WV2025082Medicare PIN
WVWV2302B662Medicare PIN
WV2025083Medicare PIN
S74035Medicare UPIN
WVWV2302BMedicare PIN
WV0033814000Medicaid
WV2025084Medicare PIN
WVWV2302B663Medicare PIN