Individual
CHARLENE SHANDELL WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
910 E INNES ST, SALISBURY, NC 28144-4638
(980) 330-6898
(980) 330-6899
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006448
NC
363LF0000X
Family Nurse Practitioner
5006448
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336576776
—
NC
05
—
NP3923
—
SC
Enumeration date
09/30/2013
Last updated
02/15/2023
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