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Individual

MRS. SHANNON MARIE WADDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP-C, AGPCNP-BC

Contact information

Practice address
1833 HENDERSONVILLE RD, ASHEVILLE, NC 28803-3510
(828) 274-1462
Mailing address
111 UNADILLA AVE, ASHEVILLE, NC 28803-2522
(336) 250-5917

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
WADD-IUJA6
NC

Other

Enumeration date
10/18/2023
Last updated
10/18/2023
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