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Individual
KASSONDRA AMADA SHOEMAKER BRINO
Active
Individual
KASSONDRA AMADA SHOEMAKER BRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
5010693
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5010693
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68535
—
NC
Enumeration date
07/15/2018
Last updated
04/06/2025
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