Individual
CAROLE LYNN SHULTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
337 MAPLE AVE E, VIENNA, VA 22180
(866) 389-2727
Mailing address
25 DREAM LN, STAFFORD, VA 22556-6470
(703) 498-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024170855
VA
363LF0000X
Family Nurse Practitioner
0024170855
VA
Other
Enumeration date
06/14/2013
Last updated
01/27/2025
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