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Individual

SHELBY RAE BETTONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8081 INNOVATION PARK DRIVE, LEVEL 4 SKYLINE CLINIC, FAIRFAX, VA 22031
(571) 472-1390
Mailing address
8081 INNOVATION PARK DR, FAIRFAX, VA 22031-4867
(571) 472-1390

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08396
NC
363A00000X
Physician Assistant
Primary
0110009373
VA

Other

Enumeration date
09/27/2018
Last updated
03/24/2026
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