Individual
SHANNON MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5825 PLANK RD STE 105, FREDERICKSBURG, VA 22407-5207
(540) 785-3448
Mailing address
4096 COAL SPRING LN APT 2A, GLEN ALLEN, VA 23060-4376
(434) 964-7911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024188078
VA
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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