| NPI | 1679917553 |
|---|---|
| Doing Business As | INSHAPEWV |
| Entity Type | Organization |
| Authorized Contact | JAMES R ELLIS Nurse Practitioner/Owner 681-238-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: WV 50904) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2019-05-15 |