Individual
SHINU ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 KEISLER DR STE E, CARY, NC 27518-7018
(919) 858-8481
Mailing address
4011 VALLONIA DR, CARY, NC 27519-6624
(919) 889-8651
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5010594
NC
Other
Enumeration date
06/13/2018
Last updated
12/12/2020
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