Individual
SHANNON MARIE VANNASANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 681-9935
Mailing address
1306 SILVER DR, MEBANE, NC 27302-8942
(336) 260-1078
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
5013609
NC
Other
Enumeration date
09/25/2020
Last updated
09/29/2020
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