Shirley Mae Struck in Annandale - Licensed Practical Nurse
Shirley Mae Struck - NPI 1780864207
Shirley Mae Struck is a Licensed Practical Nurse in Annandale, Virginia. Shirley Mae Struck practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Shirley Mae Struck is 1780864207. The last update date is 2007-11-13.
Shirley Mae Struck's current location address is 3340 Woodburn Rd, Annandale, Virginia. You can contact this provider via phone number 7032077713 and fax number 7032892764. The mailing address for Shirley Mae Struck is 3340 Woodburn Rd, Annandale, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shirley Mae Struck |
|---|---|
| Address | 3340 Woodburn Rd, Annandale, Virginia |
| Phone Number | 7032077713 |
| Fax Number | 7032892764 |
| Sole Proprietor | Y |
| Credentials | L.P.N. |
NPI Number Detail
| NPI Number | 1780864207 |
|---|---|
| Provider Enumeration Date | 2007-11-13 |
| Last Updated Date | 2007-11-13 |
Provider Mailing Address Detail
| Address | 3340 Woodburn Rd |
|---|---|
| City | Annandale |
| State | Virginia (VA) |
| Post Code | 220031202 |
| Phone Number | 7032077713 |
| Fax Number | 7032892764 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 2075401 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shirley Mae Struck by the Centers for Medicare & Medicaid Services?
The Shirley Mae Struck has been issued the NPI (National Provider Identifier) 1780864207, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shirley Mae Struck?
The Shirley Mae Struck is situated at 3340 Woodburn Rd, in the city of Annandale, state of VA, with the zip code 220031202.
What is Shirley Mae Struck's area of expertise and its corresponding taxonomy classification?
The Shirley Mae Struck's field of specialization is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780864207 to Shirley Mae Struck?
The Centers for Medicare & Medicaid Services originally issued the 1780864207 to Shirley Mae Struck on 2007-11-13.
As of what date were the details related to Shirley Mae Struck most recently updated or revised?
The information pertaining to Shirley Mae Struck, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-13.