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Individual
MRS. SHATAZAMINE SHANNETTE GALLOWAY
Active
Individual
MRS. SHATAZAMINE SHANNETTE GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
311483
NC
363L00000X
Nurse Practitioner
5020177
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5020177
NC
363LA2200X
Adult Health Nurse Practitioner
AG08230106
NC
Other
Enumeration date
08/30/2023
Last updated
08/20/2026
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