Individual
SHANEY MARIE PENBERTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3000
Mailing address
118 MISTY RIDGE LN, SUFFOLK, VA 23434-1526
(757) 388-3000
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
0024195067
VA
Other
Enumeration date
10/17/2025
Last updated
12/16/2025
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