Shafer, Guadalupe C.

Shafer, Guadalupe C. is an individual health care provider with primary practice located at 19305 Ruby Dr. , Leesburg VA 20176-3733. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shafer, Guadalupe C. can be contacted via phone (703) 407-7204.

Contact Information

Primary practice address
19305 Ruby Dr. Leesburg VA 20176-3733
Phone: (703) 407-7204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024165767 Virginia

Profile Details

NPI number 1831126796
LBN Legal business name Shafer, Guadalupe C.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jan 28th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831126796 NPPES
Virginia MEDICAID 010200504
Virginia MEDICAID 010200512
Virginia MEDICAID 010200563
Virginia MEDICAID 010199964

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