Individual
MS. SHAWNDELE LANIK DANZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8180 REGENT PKWY STE 117, FORT MILL, SC 29715-8417
(803) 518-9079
(704) 626-6855
Mailing address
8180 REGENT PKWY STE 117, FORT MILL, SC 29715-8417
(704) 626-6855
(704) 520-8162
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
24551
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5017570
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467049015
—
MI
05
—
1467049015
—
NC
05
—
NP7553
—
SC
Enumeration date
12/29/2020
Last updated
11/16/2025
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