Shortman, Marion P

Shortman, Marion P is an individual health care provider with primary practice located at 19500 Sandridge Way Suite 110, Leesburg VA 20176-3688. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Shortman, Marion P can be contacted via phone (703) 723-7337.

Contact Information

Primary practice address
19500 Sandridge Way Suite 110 Leesburg VA 20176-3688
Phone: (703) 723-7337
Fax: (703) 723-8278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 380455 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024168225 Virginia

Profile Details

NPI number 1972561017
LBN Legal business name Shortman, Marion P
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jun 20th, 2012 - about 14 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 1972561017 NPPES
Virginia MEDICAID 1972561017

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