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Individual

STEPHANIE SHULTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, CDCES

Contact information

Practice address
16337 ANTIOCH RD, MILFORD, VA 22514-2105
(615) 713-9549
Mailing address
2215 PLANK RD, FREDERICKSBURG, VA 22401-5226
(615) 713-9549

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1121781
VA
163WD0400X
Diabetes Educator Registered Nurse
32308345
VA

Other

Enumeration date
03/22/2025
Last updated
03/22/2025
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