Individual
MS. MARION P SHORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
19500 SANDRIDGE WAY, SUITE 110, LEESBURG, VA 20176-3688
(703) 723-7337
(703) 723-8278
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 443-6717
(703) 443-8643
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
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