Individual
SHANNON LOGEL CANTERBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 STONEYBROOK LN, BANNER ELK, NC 28604-9417
(828) 260-5937
Mailing address
150 STONEYBROOK LN, BANNER ELK, NC 28604-9417
(828) 260-5937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
343253
NC
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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