NPI 1003888447

Dorothy Lorraine Shackleford

Practitioner Certified Registered Nurse Anesthetist Woodbridge, VA

Practice location

Address: 3963 Hartlake St, Woodbridge, VA 22192-7477
Phone: (703) 590-2019
Mailing address: 68 South Service Road Suite 350, Melville, NY 11545-2358

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 0001212718 (VA)

Other Nurse Anesthetist, Certified Registered providers in Virginia →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 598148 (CA)

Registry record

NPI: 1003888447
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Feb 2006
Record last updated: 23 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.