Individual
MRS. SHAWN RENEA SMALL SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANPBC
Contact information
Practice address
1000 SAM PERRY BLVD, MARY WASHINGTON HOSPITAL, FREDERICKSBURG, VA 22406
(540) 741-1323
(540) 741-7263
Mailing address
1000 SAM PERRY BLVD, MARY WASHINGTON HOSPITAL, FREDERICKSBURG, VA 22406
(540) 741-1323
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024167547
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902061930
OPTIMA
VA
05
—
1902061930
—
VA
01
—
305008
KAISER
VA
01
—
540896390
TRICARE
VA
Enumeration date
07/18/2008
Last updated
08/09/2012
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