Individual
SHANE AIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 914-6692
(757) 314-7655
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 914-6692
(757) 314-7655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
97551
KS
163WC0400X
Case Management Registered Nurse
Primary
97551
KS
Other
Enumeration date
01/27/2021
Last updated
04/30/2026
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