Provider Demographics
NPI:1578500351
Name:SHELEK, LINDA J (RNC, MSN, CFNP, WHNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:J
Last Name:SHELEK
Suffix:
Gender:F
Credentials:RNC, MSN, CFNP, WHNP
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:J
Other - Last Name:SHELEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNC, MSN, CFNP, WHNP
Mailing Address - Street 1:30 MEDICAL PARK
Mailing Address - Street 2:SUITE 221
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-6391
Mailing Address - Country:US
Mailing Address - Phone:304-242-1491
Mailing Address - Fax:
Practice Address - Street 1:30 MEDICAL PARK
Practice Address - Street 2:SUITE 221
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-6391
Practice Address - Country:US
Practice Address - Phone:304-242-0588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV30629363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVPO9376Medicare UPIN