Shannon Leigh Nicholson in Lansdowne - Family
Shannon Leigh Nicholson - NPI 1457507717
Shannon Leigh Nicholson is a Family in Lansdowne, Virginia. Shannon Leigh Nicholson practices all healthcare services and medical treatments related to Family. The NPI Number for Shannon Leigh Nicholson is 1457507717. The last update date is 2012-06-21.
Shannon Leigh Nicholson's current location address is 19455 Deerfield Ave, Lansdowne, Virginia. You can contact this provider via phone number 7037295010 and fax number 7037295833. The mailing address for Shannon Leigh Nicholson is 19455 Deerfield Ave, Lansdowne, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shannon Leigh Nicholson |
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Address | 19455 Deerfield Ave, Lansdowne, Virginia |
Phone Number | 7037295010 |
Fax Number | 7037295833 |
Sole Proprietor | N |
Credentials | CFNP |
NPI Number Detail
NPI Number | 1457507717 |
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Provider Enumeration Date | 2008-08-18 |
Last Updated Date | 2012-06-21 |
Provider Mailing Address Detail
Address | 19455 Deerfield Ave |
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City | Lansdowne |
State | Virginia (VA) |
Post Code | 201768100 |
Phone Number | 7037295010 |
Fax Number | 7037295833 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 24167932 |
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 |
---|---|---|---|
1457507717 | VA | -- |
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What is the unique identification code assigned to Shannon Leigh Nicholson by the Centers for Medicare & Medicaid Services?
The Shannon Leigh Nicholson has been issued the NPI (National Provider Identifier) 1457507717. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shannon Leigh Nicholson located?
The Shannon Leigh Nicholson is located at 19455 Deerfield Ave, Lansdowne, VA 201768100.
What is Shannon Leigh Nicholson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shannon Leigh Nicholson is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Shannon Leigh Nicholson receive the assignment of its 1457507717 from the Centers for Medicare & Medicaid Services?
The Shannon Leigh Nicholson was issued its 1457507717 by the Centers for Medicare & Medicaid Services on 2008-08-18.
When was the information regarding Shannon Leigh Nicholson most recently updated?
The details pertaining to the Shannon Leigh Nicholson, including its address, specialty, and other relevant information, were last refreshed on 2012-06-21.
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