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Individual

SHAWN MARIE ZELLMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, CPNP

Contact information

Practice address
198 NC HIGHWAY 45 N, PLYMOUTH, NC 27962-9232
(252) 791-3111
Mailing address
198 NC HIGHWAY 45 N, PLYMOUTH, NC 27962-9232
(252) 791-3111

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
114434
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
300318
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
114434
LICENSE FOR RN
NC
01
300318
STATE MEDICAL BOARD LICEN
NC
Enumeration date
12/14/2006
Last updated
03/07/2025
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