Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Nolan Bashore, PA-S3

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144159765

Mr. Nolan Bashore, PA-S3 is a Student in an Organized Health Care Education/Training Program in Broadlands, Virginia. Licensed in Virginia. Registered with an NPI since 2026.

Licensed in
VA
In the registry since
2026

Practice location Address checks out

21498 Arbor Glen Ct
Broadlands, VA 20148-5070
Phone: (571) 577-7043
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (VA)

Record details

NPI number1144159765
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S3
Sole proprietorNo
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address21498 Arbor Glen Ct, Broadlands, VA 20148-5070

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