NPI 1053629964

Shawnly Heath Ward, SFIDC

Practitioner Independent Duty Corpsman Norfolk, VA

Practice location

Address: Surface Warfare Medical Institute - East 459 Bellinger Blvd, Norfolk, VA 23511
Phone: (757) 322-9298
Mailing address: 1424 Gust Ln, Chesapeake, VA 23323-2906

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Virginia →

Registry record

NPI: 1053629964
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2010
Record last updated: 16 May 2018

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.