Individual
SHANE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 589-5320
Mailing address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 589-5320
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
0001326888
VA
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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