Individual
SHANNON D BURRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
28 CHURCH ST, MATHEWS, VA 23109
(804) 725-4115
(804) 725-4201
Mailing address
28 CHURCH ST, MATHEWS, VA 23109
(804) 725-4115
(804) 725-4201
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024134311
VA
Other
Enumeration date
02/22/2006
Last updated
04/28/2015
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