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NPI Code Detail

MEDICARE: MISS SHIELA DIANNE ASHBURN RRT

MEDICARE: MISS SHIELA DIANNE ASHBURN RRT
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
1227900000XRegistered Respiratory Therapist

General Provider Information

NPI Number : 1710917323
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHIELA DIANNE ASHBURN RRT
Provider Business Mailing Address
First Line : 10 MARVIN DR
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23608-1411
Country : US
Telephone Number : 757-898-5833
Fax Number :
Provider Business Practice Location Address
First Line : 100 EMANCIPATION DR
Second Line :
City : HAMPTON
State : VA
Zip : 23667-0001
Country : US
Telephone Number : 757-722-9961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 07/08/2007

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Directions to “ MISS SHIELA DIANNE ASHBURN RRT” Practice Location

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