Individual
MS. MARION P SHORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024168225
VA
363LP0200X
Pediatric Nurse Practitioner
380455
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972561017
—
VA
Enumeration date
05/01/2006
Last updated
06/20/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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