Individual
MRS. EMMALINE SHELNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14101 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113-6523
(804) 893-5144
Mailing address
14101 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113-6523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182856
VA
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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