Search › Virginia › 363L00000X
Shannon Prevost
NPI 1205590635 · on the registry since 2021
Practice
- Address
- 11008 New Market Ct
Fredericksburg, VA 22407 - Phone
- (443) 875-4058
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia