Individual
LAURA WILKERSON SHIFFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13737 SPOTSWOOD TRL, ELKTON, VA 22827-3200
(540) 713-4100
(757) 578-8587
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 713-4100
(757) 578-8587
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024176423
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
VA
Enumeration date
08/16/2018
Last updated
08/16/2018
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