Individual
BETHANY SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6047 TYVOLA GLEN CIR STE 100, CHARLOTTE, NC 28217-6431
(443) 383-9300
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS, MD 21152-9477
(443) 383-9300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5015736
NC
Other
Enumeration date
02/06/2022
Last updated
02/26/2026
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