Individual
SHANNON WUERTHELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1730 AMHERST ST, WINCHESTER, VA 22601-2807
(540) 773-8169
Mailing address
1730 AMHERST ST, WINCHESTER, VA 22601-2807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007775
VA
Other
Enumeration date
02/08/2020
Last updated
09/15/2021
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