Individual
MRS. MARENA LYNNE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
8505 ARLINGTON BLVD STE 200, FAIRFAX, VA 22031-4630
(703) 698-8525
(703) 698-8527
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(703) 383-4836
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024168416
VA
Other
Enumeration date
08/26/2009
Last updated
04/20/2021
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