Provider Demographics
NPI:1134195050
Name:SHINALL, BARBARA L (FNP)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:L
Last Name:SHINALL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25370 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211-7462
Mailing Address - Country:US
Mailing Address - Phone:276-698-2972
Mailing Address - Fax:
Practice Address - Street 1:18765 RIVERSIDE DR
Practice Address - Street 2:924 BOX
Practice Address - City:VANSANT
Practice Address - State:VA
Practice Address - Zip Code:24656
Practice Address - Country:US
Practice Address - Phone:276-935-2880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024165036363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810011216Medicaid
VA1134195050Medicaid
P87790Medicare UPIN
VA016792T57Medicare PIN