Individual
KAITLIN SHEA ROADCAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
54 S MEDICAL PARK DR, FISHERSVILLE, VA 22939-2333
(540) 886-2956
Mailing address
505 THOROFARE RD, CRIMORA, VA 24431-2412
(540) 241-9938
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024186441
VA
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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