Individual
AMY LANELLE VONDRAN SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1401 JOHNSTON WILLIS DR STE 100, NORTH CHESTERFIELD, VA 23235-4730
(804) 330-7990
(804) 330-2701
Mailing address
7202 GLEN FOREST DR STE 200, RICHMOND, VA 23226-3780
(804) 391-4171
(804) 200-6229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001225969
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024171588
VA
363LF0000X
Family Nurse Practitioner
0024171588
VA
Other
Enumeration date
03/13/2014
Last updated
12/23/2024
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