# KASSONDRA AMADA SHOEMAKER BRINO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548746365
- **Gender:** F
- **Credential:** DNP, CPNP, PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 5010693 | NC | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5010693 | NC | Yes |

## Other

- **Enumeration date:** 07/15/2018
- **Last updated:** 04/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 68535 | — | NC |