Shelly L Warren
Prosthetic/Orthotic Supplier in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1689435802
StatusActive
Last updated in NPPESJan 16, 2024
Details
- NPI
- 1689435802
- Entity type
- Individual (NPI-1)
- Name
- Shelly L Warren
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2024
- Certification date
- Sep 29, 2023
- Last updated
- Jan 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | VA | Yes |
Practice location
506 S Independence Blvd Ste 100Virginia Beach, VA 23452-1154
Phone 757-478-0102
Mailing address
506 S Independence Blvd Ste 100Virginia Beach, VA 23452-1154
Phone 757-478-0102
Is something wrong?
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