Individual
SHANTRELL M KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19415 DEERFIELD AVE, SUITE 107, LANSDOWNE, VA 20176-8452
(703) 729-6030
(703) 729-1446
Mailing address
19415 DEERFIELD AVE, SUITE 107, LANSDOWNE, VA 20176-8452
(703) 729-6030
(703) 729-1446
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024166378
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187159201
—
TX
05
—
187159202
—
TX
05
—
187159203
—
TX
Enumeration date
06/19/2007
Last updated
03/08/2016
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