Individual
SHANNON N BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1664 PERLA DR, VIRGINIA BEACH, VA 23456-1682
(502) 807-0607
Mailing address
1664 PERLA DR, VIRGINIA BEACH, VA 23456-1682
(502) 807-0607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0001232849
VA
363L00000X
Nurse Practitioner
Primary
0024179886
VA
Other
Enumeration date
01/05/2021
Last updated
08/17/2023
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