Individual
SHANNON J. HANVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3235 ACADEMY AVE STE 101, PORTSMOUTH, VA 23703-3200
(757) 484-7386
(757) 484-1913
Mailing address
3235 ACADEMY AVE STE 101, PORTSMOUTH, VA 23703-3200
(757) 484-7386
(757) 484-1913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006082
VA
Other
Enumeration date
05/29/2009
Last updated
06/25/2019
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