Deluca, Shannon Suzanne

Deluca, Shannon Suzanne is an individual health care provider with primary practice located at 125 Queens Rd Ste 200 , Charlotte NC 28204-3578. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Deluca, Shannon Suzanne can be contacted via phone (704) 343-9800.

Contact Information

Primary practice address
125 Queens Rd Ste 200 Charlotte NC 28204-3578
Phone: (704) 343-9800
Fax: (704) 347-2011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1-137482 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 5009280 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5009280 North Carolina

Profile Details

NPI number 1780071373
LBN Legal business name Deluca, Shannon Suzanne
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2015
Last updated Jul 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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