IndividualActive
Shannan Dahl, RN, MT
NPI 1154082212 · Critical Care Medicine Registered Nurse · Centreville, VA
Provider details
- NPI number
- 1154082212
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Credential
- RN, MT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0019011674 (VA)
Specialties & taxonomies
Nursing Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
13801 Braddock Springs Rd Apt K
Centreville, VA 20121-4245
Phone: (703) 853-3351
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 893
Gainesville, VA 20156-0893
Registry dates
- Enumerated
- 2021-12-31
- Last updated
- 2021-12-31
- Certified
- 2021-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.