Alisha M Shields LPN

NPI 1417247966 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1417247966
Gender Female
Enumeration Date 04/18/2011
Last Updated 04/18/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
113 LIBERTY AVE
RICHMOND VA, 23223-3417, US
Phone (804) 328-1566
Fax
Business Location
113 LIBERTY AVE
RICHMOND VA, 23223-3417, US
Phone (804) 328-1566
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Virginia
License Number 0002075965
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According to our database, Mrs. Alisha M Shields LPN NPI is 1417247966, taxonomy code is 164W00000X and license number is 0002075965, license state is located at Virginia. Alisha M Shields LPN physically located at 113 Liberty Ave, Richmond VA, 23223-3417. NPI Number Alisha M Shields LPN has the Individual type.

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1417247966 NPI number is provided on an as is basis without warranty of any kind. 1417247966 is maintained by the National Plan & Provider Enumeration System. The contents of Alisha M Shields LPN are for informational purposes only.