Individual
SHELLY ALASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
10433 LIGON MILL RD STE C, WAKE FOREST, NC 27587-4987
(984) 301-8178
Mailing address
101 CABARRUS AVE E STE 200, CONCORD, NC 28025-3781
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
5017491
NC
363LG0600X
Gerontology Nurse Practitioner
5017491
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5017491
NC
Other
Enumeration date
01/11/2023
Last updated
07/08/2025
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