Individual
KATHY SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGCNS-BC, CBC
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(980) 722-1682
Mailing address
5315 LAKE GLENN DR, STANFIELD, NC 28163-7809
(980) 722-1682
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
167004
NC
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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