| Dorothy Lorraine Shackleford, | |
|
3963 Hartlake St, Woodbridge, VA 22192-7477 | |
| (703) 590-2019 | |
| Not Available |
| Full Name | Dorothy Lorraine Shackleford |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3963 Hartlake St, Woodbridge, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003888447 | NPI | - | NPPES |
| 1003888447 | Medicaid | VA | |
| P01179302 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 598148 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0001212718 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dorothy Lorraine Shackleford, 68 South Service Road, Suite 350, Melville, NY 11545-2358 Ph: (516) 945-3000 | Dorothy Lorraine Shackleford, 3963 Hartlake St, Woodbridge, VA 22192-7477 Ph: (703) 590-2019 |
Robyn Camille Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-583-3087 | |
Mrs. Jennifer Schmid Hooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-1000 | |
Claire Caine Garvey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-1000 | |
Karina Bedosky-arellano, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2280 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-9750 | |
Steven Paul Kelsch, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2300 Opiz Blvd., Woodbridge, VA 22191 Phone: 703-670-1313 | |
Tieya Whites, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-2075 |