Individual
MRS. SHANNON LOUETTE SKAUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5 FIRST VILLAGE DR, PINEHURST, NC 28374-9495
(910) 235-2709
(910) 215-3080
Mailing address
PO BOX 2000, PINEHURST, NC 28374-2000
(910) 235-2709
(910) 215-3080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-153334
AL
363LF0000X
Family Nurse Practitioner
5013285
NC
Other
Enumeration date
06/18/2018
Last updated
10/18/2022
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