Provider Demographics
NPI:1073268884
Name:ROHAN, SHAWN DAVID (FNP)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:DAVID
Last Name:ROHAN
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:INOVA URGENT CARE CENTER- TYSONS
Mailing Address - Street 2:8357 EAST LEESBURG PIKE
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2493
Mailing Address - Country:US
Mailing Address - Phone:571-665-6440
Mailing Address - Fax:571-665-6441
Practice Address - Street 1:8357 LEESBURG PIKE
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2493
Practice Address - Country:US
Practice Address - Phone:571-665-6440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-21
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024183689363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily