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Individual

MRS. SHANTELLE NICOLLE BREEZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
203 POMONA DR, GREENSBORO, NC 27407-1619
(336) 282-0132
Mailing address
203 POMONA DR, GREENSBORO, NC 27407-1619
(336) 282-0132

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
264125
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
BREE-0E05L
NC

Other

Enumeration date
02/26/2021
Last updated
02/26/2021
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