Shannan Rae Dahl, RN, MT is a
Registered Nurse - Critical Care Medicine based in Centreville, Virginia. Shannan Rae Dahl is licensed to practice in Virginia (license number 0001298714) and her current practice location is
13801 Braddock Springs Rd Apt K, Centreville, Virginia. She can be reached at her office (for appointments etc.) via phone at
(703) 853-3351.
NPI number for Shannan Rae Dahl is 1154082212 and her current mailing address is Po Box 893, Gainesville, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154082212.
Healthcare Provider's Profile
Full Name | Shannan Rae Dahl |
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Gender | Female |
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Speciality | Registered Nurse - Critical Care Medicine |
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Location | 13801 Braddock Springs Rd Apt K, Centreville, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154082212
- Provider Enumeration Date: 12/31/2021
- Last Update Date: 12/31/2021
Medical Identifiers
Medical identifiers for Shannan Rae Dahl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154082212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 0019011674 (Virginia) | Secondary |
163WC0200X | Registered Nurse - Critical Care Medicine | 0001298714 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannan Rae Dahl is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannan Rae Dahl, RN, MT Po Box 893, Gainesville, VA 20156-0893 Ph: (703) 853-3351 | Shannan Rae Dahl, RN, MT 13801 Braddock Springs Rd Apt K, Centreville, VA 20121-4245 Ph: (703) 853-3351 |
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