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Individual
SHALANDA C VANN
Active
Individual
SHALANDA C VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, RN, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-312369
NC
363LF0000X
Family Nurse Practitioner
Primary
5016922
NC
Other
Enumeration date
09/02/2022
Last updated
08/19/2024
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