Individual provider · Type 1 NPI

Marion P. Shortman, PNP

Pediatric Nurse Practitioner · Leesburg, VA

NPI number 1972561017 Active

Practice location

19500 Sandridge Way, Suite 110
Leesburg, VA 20176-3688

Fax (703) 723-8278

Mailing address

PO Box 17334
Baltimore, MD 21297-1334

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X380455 (NY)
Pediatric Nurse Practitioner Primary 363LP0200X0024168225 (VA)

Pediatric Nurse Practitioner: Definition to come...

22 other providers at this address

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About NPI 1972561017

Marion P. Shortman, PNP's National Provider Identifier is 1972561017, issued on May 1, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Leesburg, VA. The record was last updated on Jun 20, 2012.