Husted, Shannon Marie
Husted, Shannon Marie is an individual health care provider with primary practice located at 5021 Riverfront Dr , Suffolk VA 23434-7188. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / General Practice, Nursing Service Related Providers / Homemaker, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Husted, Shannon Marie can be contacted via phone (757) 319-2423.Contact Information
Primary practice address
5021 Riverfront Dr
Suffolk VA 23434-7188
Phone: (757) 319-2423
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 13341645-4405 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024185946 | Virginia |
| Nursing Service Providers / General Practice | 163WG0000X | 0001160108 | Virginia |
| Nursing Service Related Providers / Homemaker | 376J00000X | Virginia | |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 13341645-8900 | Utah |
Profile Details
| NPI number | 1689246670 |
|---|---|
| LBN Legal business name | Husted, Shannon Marie |
| Credentials | FNP-BC, MSN, BSN, RN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2021 |
| Last updated | Apr 27th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689246670 | NPPES |
| Virginia | Other | T26563035 | DMV |
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