MEDICARE: SHIRLEY TURNER HARTMAN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0024165816	VA

General Provider Information

NPI Number	:	1467634139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRLEY TURNER HARTMAN NP

Provider Business Mailing Address
First Line	:	1624 LASKIN RD STE 736-102
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-7507
Country	:	US
Telephone Number	:	757-250-7573
Fax Number	:	757-208-9102

Provider Business Practice Location Address
First Line	:	1624 LASKIN RD STE 736-102
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-7507
Country	:	US
Telephone Number	:	757-250-7573
Fax Number	:	757-208-9102

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	05/28/2026

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