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Individual

KASSONDRA AMADA SHOEMAKER BRINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CPNP, PMHNP

Contact information

Practice address
100 W H ST, BUTNER, NC 27509-1605
(919) 338-8500
Mailing address
210 SILVER PINE CT, DURHAM, NC 27713-9266
(919) 627-8771

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
5010693
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5010693
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
68535
NC
Enumeration date
07/15/2018
Last updated
04/06/2025
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