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Individual

MRS. SHANNON ELISABETH SCHELLENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPA, PA-C

Contact information

Practice address
1651 N PARHAM RD, RICHMOND, VA 23229-4605
(804) 288-8204
Mailing address
1651 N PARHAM RD, RICHMOND, VA 23229-4605
(804) 288-8204

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0110-002320
VA
363AS0400X
Surgical Physician Assistant
Primary
0110002320
VA

Other

Enumeration date
07/20/2006
Last updated
01/23/2009
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