Individual
COURTNEY SHANE BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12522 W COLONIAL TRAIL HWY, CREWE, VA 23930-3329
(434) 645-9191
(434) 645-1859
Mailing address
14490 MEADE RD, AMELIA COURT HOUSE, VA 23002-4502
(252) 394-6162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177935
VA
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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