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Individual
MRS. SHAWANDA LESTER SPENCER
Active
Individual
MRS. SHAWANDA LESTER SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5008617
NC
363LF0000X
Family Nurse Practitioner
F0516317
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008617
NC BOARD OF NURSING APPROVAL NUMBER
NC
01
—
F0516317
AANP CERTIFICATION
NC
Enumeration date
06/09/2016
Last updated
09/28/2016
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