Desmond, Shawn Marie

Desmond, Shawn Marie is an individual health care provider with primary practice located at 3505 Converse Dr Suite 200, Wilmington NC 28403-6131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Desmond, Shawn Marie can be contacted via phone (910) 392-5634.

Contact Information

Primary practice address
3505 Converse Dr Suite 200 Wilmington NC 28403-6131
Phone: (910) 392-5634
Fax: (910) 392-5654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 300318 North Carolina

Profile Details

NPI number 1740342112
LBN Legal business name Desmond, Shawn Marie
Credentials RN, MSN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740342112 NPPES
North Carolina Other 114434 LICENSE FOR RN
North Carolina Other 300318 LICENSE FOR RN

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