Individual
SHANNON ROSE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3000 WATERCOVE RD, MIDLOTHIAN, VA 23112-3982
(804) 744-0200
(804) 744-8417
Mailing address
13332 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113-4210
(804) 794-5598
(804) 337-8194
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024167546
VA
Other
Enumeration date
06/10/2008
Last updated
01/13/2016
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