Individual
KATLYN OLIVIA MAUNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
711 N DEKALB ST, SHELBY, NC 28150-3911
(704) 482-1482
Mailing address
121 CLINTON ST, SHELBY, NC 28152-8196
(704) 472-6073
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22042
SC
363LP2300X
Primary Care Nurse Practitioner
Primary
5012399
NC
Other
Enumeration date
07/11/2018
Last updated
07/01/2024
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