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

SHAWNTA WARREN

Active Sole Proprietor

SHAWNTA WARREN is a 171WV0202X healthcare provider located in FREDERICKSBURG, Virginia. NPI 1548634371 is currently active in the NPPES registry. Verify at CMS.

171WV0202X · FREDERICKSBURG, VA

Registration Details

NPI Number
1548634371
Provider Type
Individual
Gender
Female
NPI Issued
Nov 17, 2015 (10.758515292933 yrs)
Last Updated
Nov 17, 2015
License
T63456150 (VA)
Sole Proprietor
Yes

Practice Information

Address
10907 TANEY DR
FREDERICKSBURG, VA, 224072561
Browse VA providers · Browse ZIP 22407
Phone
5403882821
Fax
5404121195
Primary Specialty
171WV0202X
171WV0202X
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.