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Individual

ANN LEWIS SHIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.N.P.

Contact information

Practice address
4687 POUNCEY TRACT RD, GLEN ALLEN, VA 23059-5802
(804) 422-5437
Mailing address
1400 1/2 BELLEVUE AVE, RICHMOND, VA 23227-4005

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024172019
VA

Other

Enumeration date
09/05/2014
Last updated
09/05/2014
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