Warren, Shae

Warren, Shae is an individual health care provider with primary practice located at 754 Walker Rd , Great Falls VA 22066-2654. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Warren, Shae can be contacted via phone (703) 757-5817.

Contact Information

Primary practice address
754 Walker Rd Great Falls VA 22066-2654
Phone: (703) 757-5817
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 0024188700 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024188700 Virginia

Profile Details

NPI number 1699549477
LBN Legal business name Warren, Shae
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2023
Last updated Mar 19th, 2026 - about 8 months 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 1699549477 NPPES
Virginia MEDICAID 1699549477
Virginia MEDICAID 30017728310001

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