SHAUGHANASSEE B VINES

VIRGINIA BEACH, VA
NPI1750726188
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: VA  0024170738)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: MD  AC003102)
367A00000X Advanced Practice Midwife
(Licence: CA  236069)
Enumeration Date2013-04-29
Last Update Date2022-12-31
Business Address
Ms. SHAUGHANASSEE B VINES CNM
5320 PROVIDENCE RD STE 100
VIRGINIA BEACH, VA 23464-4122
Phone number: 757-550-4132
Mailing Address
Ms. SHAUGHANASSEE B VINES CNM
5320 PROVIDENCE RD STE 100
VIRGINIA BEACH, VA 23464-4122
Phone number: 757-550-4132
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