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Individual
SHANNON MARIE HUSTED
Active
Individual
SHANNON MARIE HUSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, MSN, BSN, RN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
0001160108
VA
363LF0000X
Family Nurse Practitioner
0024185946
VA
363LF0000X
Family Nurse Practitioner
13341645-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
13341645-8900
UT
376J00000X
Homemaker
—
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T26563035
DMV
VA
Enumeration date
07/11/2021
Last updated
04/27/2023
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