DOROTHY SHACKLEFORD

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1003888447

Practice Address

3963 HARTLAKE ST
Woodbridge, VA 22192

Phone: (703) 590-2019

Specialties

Specialty Code Primary License
Nurse Anesthetist, Certified Registered 367500000X Yes 0001212718 (VA)

Frequently Asked Questions

NPI 1003888447 is the National Provider Identifier for DOROTHY SHACKLEFORD, a Nurse Anesthetist, Certified Registered provider located in Woodbridge, VA. This NPI was enumerated on February 1, 2006.
DOROTHY SHACKLEFORD practices at 3963 HARTLAKE ST, Woodbridge, VA 22192.

Quick Facts

NPI
1003888447
Type
Individual
Enumerated
Feb 1, 2006
Last Updated
Apr 23, 2015

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