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Shannon Marie Husted, FNP-BC,MSN,BSN,RN
Family Nurse Practitioner in Suffolk, Virginia
NPI 1689246670

Shannon Marie Husted is a Family Nurse Practitioner based in Suffolk, VA and is specialized in Family. Shannon Marie Husted practices in Suffolk, VA and has the professional credentials of FNP-BC,MSN,BSN,RN. The NPI Number for Shannon Marie Husted is 1689246670 and holds a License No. 13341645-4405 (Virginia).

The current practice location address for Shannon Marie Husted is 5021 Riverfront Dr, Suffolk, VA and can be reached out via phone at 757-319-2423.

Location: 5021 Riverfront Dr, Suffolk, VA, 23434-7188
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Provider Profile Details
NPI Number
1689246670
Provider Name
Shannon Marie Husted
Credential
FNP-BC,MSN,BSN,RN
Provider Entity Type
Individual
Gender
Female
Address
5021 Riverfront Dr, Suffolk, VA, 23434-7188
Phone Number
757-319-2423
Fax Number
Provider Enumeration Date
07/11/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T26563035 01 VA DMV
institution
Provider Business Practice Location Address Details
Address
5021 Riverfront Dr
City
State
Zip
23434-7188
Phone Number
757-319-2423
Fax Number
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Provider Business Mailing Address Details
Address
5021 Riverfront Dr
City
State
Zip
23434-7188
Phone Number
757-319-2423
Fax Number
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Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
(Virginia)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0001160108 (Virginia)
Definition
Definition to come...
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Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
License No.
0024185946 (Virginia)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
13341645-4405 (Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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