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Individual

SHANNON ELIZABETH O'NEILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
2025 GLENN MITCHELL DR, VIRGINIA BEACH, VA 23456-0178
(757) 507-4123
Mailing address
2025 GLENN MITCHELL DR, VIRGINIA BEACH, VA 23456-0178
(757) 507-4123

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024186009
VA
363LA2200X
Adult Health Nurse Practitioner
0024186009
VA
363LG0600X
Gerontology Nurse Practitioner
0024186009
VA

Other

Enumeration date
12/30/2022
Last updated
09/28/2023
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