SHANNAN RAE DAHL RN MT NPI 1154082212

NPI Information

NPI: 1154082212
Provider Name: SHANNAN RAE DAHL, RN, MT
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
13801 BRADDOCK SPRINGS RD APT K
CENTREVILLE, VA
ZIP 20121
Phone: (703) 853-3351
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Shannan Rae Dahl, RN, MT is a critical care medicine registered nurse in Centreville, VA. Shannan Rae Dahl, RN, MT NPI is 1154082212. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13801 BRADDOCK SPRINGS RD APT K
CENTREVILLE, VA
ZIP 20121-245
Phone: (703) 853-3351

The enumeration date for this NPI number is 12/31/2021 and was last updated on 12/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		0019011674	VIRGINIA	No
2	163WC0200X	Registered Nurse	Critical Care Medicine	0001298714	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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