Doctor Name: | SHIRLEY C. DODSON-MCADOO |
NPI Number: | 1285873315 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, ANP-C |
License Number: | 0024167175 |
Business Practice Address: | 101 Harris Rd Medical Building 6 Kilmarnock, VA - 224823880 |
Business Phone Number: | 8044350023 |
Business Fax Number: | 8044350025 |
Mailing Address: | Po Box 1866, KILMARNOCK |
State: | VA |
Postal Code: | 224821866 |
Phone Number: | 8044350023 |
Fax Number: | 8044350025 |
NPI Enumeration Date: | 02/12/2009 |
NPI Last Update Date: | 02/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 0024167175 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |