Individual
MRS. SHIREEN A GORANSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
725 HIGHLAND AVE, WINSTON SALEM, NC 27101-4206
(336) 607-8523
Mailing address
284 EXECUTIVE PARK DR., SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
214749
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214749
RN
NC
Enumeration date
03/06/2007
Last updated
07/31/2013
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