SearchVirginia367A00000X

Shaughanassee Vines, CNM

NPI 1750726188 · on the registry since 2013

Practice

Address
5320 Providence Rd Ste 100
Virginia Beach, VA 23464
Phone
(757) 550-4132
Organisation at this address
Sentara Medical Group
Southside Spectrum Pediatrics
Healthyher Womens Center Pllc
Virginia Beach Dermatoloty Ass.
Virginia Beach Dermatology Associates Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Additional practice sites

  • 1701 High St, Portsmouth, VA
  • 1809 National Ave, San Diego, CA

Registry record

Primary taxonomy
367A00000X
367A00000X
Also registered as
367A00000X
367A00000X
Licence states on file
MD, CA, VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-31

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