Individual provider · Type 1 NPI

Shannon Weatherly, DO

Student in an Organized Health Care Education/Training Program · Falls Church, VA

NPI number 1487587994 Active

Practice location

3300 Gallows Rd
Falls Church, VA 22042-3300

Call (703) 776-3738 Map

Mailing address

8191 Strawberry Ln Apt 222
Falls Church, VA 22042-1045

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X0116042453 (VA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487587994

Shannon Weatherly, DO's National Provider Identifier is 1487587994, issued on Jun 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Falls Church, VA. The record was last updated on Jun 4, 2026.