# SHAMICHAEL FLAGG

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

## Provider details

- **NPI number:** 1376209528
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 091380 | NC | Yes |
| 164W00000X | Licensed Practical Nurse | 330094 | NY | — |

## Other

- **Enumeration date:** 11/11/2021
- **Last updated:** 11/11/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 091380 | NURSING LICENSE | NC |