# DR. SHANNA CARLEE GREMINGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1346227899
- **Gender:** F
- **Credential:** DNP, MS, FNP, BC-ADM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 0024171682 | VA | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 5015363 | NC | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | R13170 | MD | — |
| 363LF0000X | Family Nurse Practitioner | 5015363 | NC | — |
| 363LF0000X | Family Nurse Practitioner | 9057 | CA | — |

## Other

- **Enumeration date:** 12/27/2005
- **Last updated:** 12/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 375946YZDS | MEDICARE PTAN | MD |