Individual
ANNA SHOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 GATEWAY DR, CLAYTON, NC 27520-2158
(919) 585-9001
Mailing address
2024 SHADOW CREEK DR, RALEIGH, NC 27604-5890
(414) 640-6809
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SHOL-0S2FQ
NC
Other
Enumeration date
10/10/2021
Last updated
10/10/2021
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