Shauna M Large is a Family in Abingdon, Virginia. Shauna M Large practices all healthcare services and medical treatments related to Family. The NPI Number for Shauna M Large is 1306861778. The last update date is 2017-02-15.
Shauna M Large's current location address is 16000 Johnston Memorial Dr, Abingdon, Virginia. You can contact this provider via phone number 2762583600 and fax number 2762583605. The mailing address for Shauna M Large is 16000 Johnston Memorial Dr, Abingdon, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shauna M Large |
|---|---|
| Address | 16000 Johnston Memorial Dr, Abingdon, Virginia |
| Phone Number | 2762583600 |
| Fax Number | 2762583605 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1306861778 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2017-02-15 |
Provider Mailing Address Detail
| Address | 16000 Johnston Memorial Dr |
|---|---|
| City | Abingdon |
| State | Virginia (VA) |
| Post Code | 242117664 |
| Phone Number | 2762583600 |
| Fax Number | 2762583605 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 24165989 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4319883 | TN | BCBS TENNESSEE | |
| 1306861778 | VA | -- | |
| 1526528 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shauna M Large by the Centers for Medicare & Medicaid Services?
The Shauna M Large has been assigned the NPI (National Provider Identifier) 1306861778 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Shauna M Large's facilities are geographically located?
The facilities of Shauna M Large are physically situated at the following location: 16000 Johnston Memorial Dr, Abingdon, VA, 242117664.
What is Shauna M Large's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shauna M Large's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did Shauna M Large receive its 1306861778 assignment from the Centers for Medicare & Medicaid Services?
The Shauna M Large was assigned its 1306861778 on 2006-07-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Shauna M Large, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shauna M Large, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-02-15.