Individual
OLGA SHALAUROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1831 LAKE PINE DR STE 200, CARY, NC 27511-6050
(919) 889-8569
Mailing address
303 CHAPEL VALLEY LN, APEX, NC 27502-4676
(919) 889-8569
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006530
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649607607
—
NC
01
—
5006530
NC FNP LICENSE NUMBER
NC
Enumeration date
10/03/2013
Last updated
04/26/2021
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