Shae Eguchi FNP-BC

NPI # 

Practice Address:

Po Box 151071

Alexandria, VA, 22315-1071

Practice Phone:

703-540-0068

License Number:

0024189189

License State:

VA

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Family

Taxonomy Code:

363LF0000X

Deactivation Date:

2024-03-16T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2024-06-12T00:00:00.000Z

Updated by NPPES on 6/12/2024. You can view the original data set for NPI # 1356103303 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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Shae Eguchi , FNP-BC 's

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