Individual
CLARE D SHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 HILL TOP DR, RICHMOND, VA 23225-4414
(757) 817-6028
Mailing address
800 HILL TOP DR, RICHMOND, VA 23225-4414
(757) 817-6028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024180541
VA
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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