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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNAN RAE DAHL, RN, MT

Active Sole Proprietor

SHANNAN RAE DAHL, RN, MT is a Critical Care Nurse healthcare provider located in CENTREVILLE, Virginia. NPI 1154082212 is currently active in the NPPES registry. Verify at CMS.

Critical Care Nurse · CENTREVILLE, VA

Registration Details

NPI Number
1154082212
Provider Type
Individual
Gender
Female
NPI Issued
Dec 31, 2021 (4.6468662236923 yrs)
Last Updated
Dec 31, 2021
Licenses
0019011674 (VA)
0001298714 (VA)
Sole Proprietor
Yes

Practice Information

Address
13801 BRADDOCK SPRINGS RD APT K
CENTREVILLE, VA, 201214245
Browse VA providers · Browse ZIP 20121
Phone
7038533351
Primary Specialty
Critical Care Nurse
163WC0200X
Additional Specialty
Critical Care Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.