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Shannan Rae Dahl, RN,MT
Critical Care Medicine Registered Nurse in Centreville, Virginia
NPI 1154082212

Shannan Rae Dahl is a Critical Care Medicine Registered Nurse based in Gainesville, VA and is specialized in Critical Care Medicine. Shannan Rae Dahl practices in Centreville, VA and has the professional credentials of RN,MT. The NPI Number for Shannan Rae Dahl is 1154082212 and holds a License No. 0019011674 (Virginia).

The current practice location address for Shannan Rae Dahl is 13801 Braddock Springs Rd Apt K, Centreville, VA and can be reached out via phone at 703-853-3351.

Location: 13801 Braddock Springs Rd Apt K, Centreville, VA, 20156-0893
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154082212
Provider Name
Shannan Rae Dahl
Credential
RN,MT
Provider Entity Type
Individual
Gender
Female
Address
13801 Braddock Springs Rd Apt K, Centreville, VA, 20156-0893
Phone Number
703-853-3351
Fax Number
Provider Enumeration Date
12/31/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13801 Braddock Springs Rd Apt K
City
Centreville
State
Virginia
Zip
20121-4245
Phone Number
703-853-3351
Fax Number
person
Provider Business Mailing Address Details
Address
13801 Braddock Springs Rd Apt K
City
Centreville
State
Virginia
Zip
20121-4245
Phone Number
703-853-3351
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
163WC0200X
License No.
0001298714 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
0019011674 (Virginia)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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