Individual
MRS. SHAUNACI SIMONE CAGE FORNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,RNC-NIC, CLC
Contact information
Practice address
1001 NEW CREEK WAY, WAKE FOREST, NC 27587-1848
(919) 604-2653
Mailing address
1001 NEW CREEK WAY, WAKE FOREST, NC 27587-1848
(919) 604-2653
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2537523
MN
163W00000X
Registered Nurse
283568
NC
163W00000X
Registered Nurse
95191813
CA
163WL0100X
Lactation Consultant (Registered Nurse)
283568
MN
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
283568
NC
163WL0100X
Lactation Consultant (Registered Nurse)
95191813
CA
163WN0002X
Neonatal Intensive Care Registered Nurse
283568
NC
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
07/01/2025
Last updated
07/15/2025
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