Weaver, Charlene Shandell

Weaver, Charlene Shandell is an individual health care provider with primary practice located at 910 E Innes St , Salisbury NC 28144-4638. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Weaver, Charlene Shandell can be contacted via phone (980) 330-6898.

Contact Information

Primary practice address
910 E Innes St Salisbury NC 28144-4638
Phone: (980) 330-6898
Fax: (980) 330-6899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5006448 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5006448 North Carolina

Profile Details

NPI number 1336576776
LBN Legal business name Weaver, Charlene Shandell
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2013
Last updated Feb 15th, 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 1336576776 NPPES
South Carolina MEDICAID NP3923
South Carolina MEDICAID 1336576776

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