Individual
SHANNON DOROTHY COUTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2800 BLUE RIDGE RD, RALEIGH, NC 27607
(919) 787-5380
Mailing address
334 WILLOW ST, CARY, NC 27511-3253
(704) 770-5943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010732
NC
363LP2300X
Primary Care Nurse Practitioner
5010732
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
AG06180130
NC
Other
Enumeration date
06/23/2018
Last updated
03/20/2020
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