Shively, Teresa Ann

Shively, Teresa Ann is an sole proprietor health care provider with primary practice located at 8850 Richmond Hwy Ste 202 , Alexandria VA 22309-1586. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Shively, Teresa Ann can be contacted via phone (703) 704-7004.

Contact Information

Primary practice address
8850 Richmond Hwy Ste 202 Alexandria VA 22309-1586
Phone: (703) 704-7004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 0001149341 Virginia

Profile Details

NPI number 1740397983
LBN Legal business name Shively, Teresa Ann
Credentials BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Jul 8th, 2007 - about 18 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 1740397983 NPPES
Virginia Other 0001149341 NURSING LICENSE

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