Individual
SANDRA SWISHER SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 E LEE AVE, YADKINVILLE, NC 27055-8132
(336) 679-2661
(336) 679-7056
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 679-2661
(336) 679-7056
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004055
NC
363LF0000X
Family Nurse Practitioner
F0608440
NC
Other
Enumeration date
08/19/2008
Last updated
10/28/2020
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