SHANNON RUSSELL CANDLER FNP NPI 1245706670

NPI Information

NPI: 1245706670
Provider Name: SHANNON RUSSELL CANDLER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3396 HOLLAND RD
VIRGINIA BEACH, VA
ZIP 23452
Phone: (757) 428-5601
Get Directions

Shannon Russell Candler, FNP is a family nurse practitioner in Virginia Beach, VA. Shannon Russell Candler, FNP NPI is 1245706670. 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:

3396 HOLLAND RD
VIRGINIA BEACH, VA
ZIP 23452-824
Phone: (757) 428-5601
Fax: (757) 428-7872

The enumeration date for this NPI number is 10/24/2018 and was last updated on 10/24/2018.

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	363LF0000X	Nurse Practitioner	Family	0024081379	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: 4/28/2024

NPI Synchronization or Removal

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