Short, Virginia

Short, Virginia is an individual health care provider with primary practice located at 514 W Atlantic St , South Hill VA 23970-1906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Short, Virginia can be contacted via phone (434) 584-2000.

Contact Information

Primary practice address
514 W Atlantic St South Hill VA 23970-1906
Phone: (434) 584-2000
Fax: (434) 447-2240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024168641 Virginia

Profile Details

NPI number 1457675720
LBN Legal business name Short, Virginia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2010
Last updated Jan 13th, 2017 - about 8 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 1457675720 NPPES
Virginia MEDICAID 1457675720
Virginia Other 1457675720

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