Individual
PAIGE CHRISTINE SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNPBC-AG
Contact information
Practice address
5875 BREMO RD STE 400B, RICHMOND, VA 23226-1928
(804) 287-7840
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024176743
VA
363LA2100X
Acute Care Nurse Practitioner
F432393-01
NY
363LA2100X
Acute Care Nurse Practitioner
VA-0001239292
VA
Other
Enumeration date
07/25/2017
Last updated
03/21/2025
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