Provider Demographics
NPI:1770386401
Name:SHREVE, ELVIRA ELAINE
Entity type:Individual
Prefix:
First Name:ELVIRA
Middle Name:ELAINE
Last Name:SHREVE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:HAMBLETON
Mailing Address - State:WV
Mailing Address - Zip Code:26269-0097
Mailing Address - Country:US
Mailing Address - Phone:681-270-1568
Mailing Address - Fax:
Practice Address - Street 1:236 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:HAMBLETON
Practice Address - State:WV
Practice Address - Zip Code:26269
Practice Address - Country:US
Practice Address - Phone:681-270-1568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator