Individual provider · Type 1 NPI
Shannan Rae Dahl, RN, MT
Critical Care Medicine Registered Nurse · Centreville, VA
NPI number
1154082212
Active
Practice location
13801 Braddock Springs Rd Apt K
Centreville, VA 20121-4245
Mailing address
PO Box 893
Gainesville, VA 20156-0893
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 0019011674 (VA) |
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 0001298714 (VA) |
Critical Care Medicine Registered Nurse: Definition to come...
About NPI 1154082212
Shannan Rae Dahl, RN, MT's National Provider Identifier is 1154082212, issued on Dec 31, 2021. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Centreville, VA. The record was last updated on Dec 31, 2021.