Individual
MS. GUADALUPE C. SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
19305 RUBY DR., LEESBURG, VA 20176-3733
(703) 407-7204
Mailing address
19438 NEWTON PASS SQ, LEESBURG, VA 20176-6523
(703) 407-7204
(703) 407-7204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024165767
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010199964
—
VA
05
—
010200504
—
VA
05
—
010200512
—
VA
05
—
010200563
—
VA
Enumeration date
06/27/2006
Last updated
01/28/2019
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