Individual
SHANE LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-5136
Mailing address
1107 BRICEWOOD LN, CEDAR GROVE, NC 27231-9007
(919) 525-4499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
119050
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
5731
NC
Other
Enumeration date
09/01/2017
Last updated
04/01/2026
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