Individual
SHAWN SULLIVAN FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4500 MANOR VILLAGE WAY, APT 242, RALEIGH, NC 27612-3654
(828) 850-9646
Mailing address
4500 MANOR VILLAGE WAY, APT 242, RALEIGH, NC 27612-3654
(828) 850-9646
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
224880
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
20022
SC
Other
Enumeration date
06/14/2012
Last updated
01/02/2018
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