# MERMAID MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174438642
- **Authorized official:** CATHY SHELL NP (OWNER)
- **Authorized official phone:** (540) 335-6730

## Contact information

- **Practice address:** 98 WHEATFIELD LN, STAR TANNERY, VA 22654-3167
- **Practice address phone:** (540) 335-6730
- **Mailing address:** 98 WHEATFIELD LN, STAR TANNERY, VA 22654-3167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2026
- **Last updated:** 08/18/2026