Individual
MANOJ KUMAR SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3506 W TYVOLA RD # 2E27, CHARLOTTE, NC 28208-7201
(704) 329-1300
Mailing address
3506 W TYVOLA RD # 2E27, CHARLOTTE, NC 28208-7201
(704) 329-1300
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN11009173
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP11009173
FL
Other
Enumeration date
07/07/2021
Last updated
08/29/2023
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