Individual
SHANNON THERESA GARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RNC, CNM/WHNP
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(205) 873-2405
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0024192145
VA
367A00000X
Advanced Practice Midwife
0024192145
VA
Other
Enumeration date
05/01/2024
Last updated
09/03/2025
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