Shearer, Kathleen

Shearer, Kathleen is an individual health care provider with primary practice located at 5895 Trinity Pkwy Suite 100, Centreville VA 20120-1995. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shearer, Kathleen can be contacted via phone (703) 802-2004.

Contact Information

Primary practice address
5895 Trinity Pkwy Suite 100 Centreville VA 20120-1995
Phone: (703) 802-2004
Fax: (703) 802-2113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0017001302 Virginia

Profile Details

NPI number 1568624054
LBN Legal business name Shearer, Kathleen
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2008
Last updated Jun 26th, 2008 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568624054 NPPES
Virginia Other 0017001302 LICENSED AUTHORIZATION TO PRESCRIBE
Virginia Other 0024052576 LICENSED AUTHORIZATION TO PRESCRIBE

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