Healthcare Provider Details

I. General information

NPI: 1467634139
Provider Name (Legal Business Name): SHIRLEY TURNER HARTMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHIRLEY T HARTMAN

II. Dates (important events)

Enumeration Date: 12/04/2007
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1624 LASKIN RD STE 736-102
VIRGINIA BEACH VA
23451-7507
US

IV. Provider business mailing address

1624 LASKIN RD STE 736-102
VIRGINIA BEACH VA
23451-7507
US

V. Phone/Fax

Practice location:
  • Phone: 757-250-7573
  • Fax: 757-208-9102
Mailing address:
  • Phone: 757-250-7573
  • Fax: 757-208-9102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024165816
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: