Individual
MRS. SHANNON PAIGE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
163 FORT EVANS RD NE, LEESBURG, VA 20176-4420
(703) 443-2000
Mailing address
163 FORT EVANS RD NE, LEESBURG, VA 20176-4420
(703) 443-2000
(703) 443-2033
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024170771
VA
Other
Enumeration date
03/24/2013
Last updated
06/08/2025
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