Individual provider · Type 1 NPI
Shannon Marie Husted, FNP-BC, MSN, BSN, RN
Family Nurse Practitioner · Suffolk, VA
NPI number
1689246670
Active
Practice location
5021 Riverfront Dr
Suffolk, VA 23434-7188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13341645-4405 (UT) |
| Family Nurse Practitioner | 363LF0000X | 0024185946 (VA) |
| General Practice Registered Nurse | 163WG0000X | 0001160108 (VA) |
| Homemaker | 376J00000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | 13341645-8900 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689246670
Shannon Marie Husted, FNP-BC, MSN, BSN, RN's National Provider Identifier is 1689246670, issued on Jul 11, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Suffolk, VA. The record was last updated on Apr 27, 2023.