Individual
MRS. LEAH JANE SHIREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
935 S MAIN ST, FARMVILLE, VA 23901-2211
(434) 315-5340
Mailing address
5 BRICKYARD DRIVE, DILLWYN, VA 23936
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178365
VA
363LF0000X
Family Nurse Practitioner
19891
SC
Other
Enumeration date
01/07/2016
Last updated
08/16/2023
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