Individual
MRS. EILEEN SHARON WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN
Contact information
Practice address
MCDONALD ARMY HEALTH CENTER, 576 JEFFERSON AVE, FORT EUSTIS, VA 23604-5548
(757) 314-7522
Mailing address
2515 CYPRESS AVENUE, VIRGINIA BEACH, VA 23451
(757) 233-9477
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0001069188
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001069188
REGISTERED NURSE LICENSE
VA
Enumeration date
01/22/2007
Last updated
11/28/2012
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